Riverside Plastic Surgery LLC
NPI 1255766788ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Greenville, SC
Surgery, Plastic and Reconstructive Surgery in Greenville, South Carolina, registered in NPPES in September 2013. The authorized official on file is Brent Moister, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255766788 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 3, 2013 |
| Last updated in NPPES | Jul 18, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | 36140 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
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