Center for Cosmetic and Laser Surgery, LLC
NPI 1215276530ActiveOrganization· Plastic Surgery· Bloomington, IL
Plastic Surgery in Bloomington, Illinois, registered in NPPES in February 2013. The authorized official on file is Jeffrey S. Poulter, MD, Owner.
Overview
| NPI | 1215276530 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 6, 2013 |
| Last updated in NPPES | Feb 6, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | 036084126 | IL |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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