Lake Country Plastic and Hand Surgery SC
NPI 1205943768ActiveOrganization· Plastic Surgery· Waukesha, WI
Plastic Surgery in Waukesha, Wisconsin, registered in NPPES in August 2006. The authorized official on file is Tracy E. McCall, Sole Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205943768 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 23, 2006 |
| Last updated in NPPES | Apr 30, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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