Southern Spine & Orthopaedics LLC
NPI 1255168175ActiveOrganization· Orthopaedic Surgery· Lafayette, LA
Orthopaedic Surgery in Lafayette, Louisiana, registered in NPPES in September 2024. The authorized official on file is Kathryn Clark, Credentialing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255168175 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 16, 2024 |
| Last updated in NPPES | Sep 16, 2024 |
| Certified by provider | Sep 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
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 (LA) |
|---|
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