Coastal Vascular and Interventional PLLC
NPI 1285888180ActiveOrganization· Surgery, Vascular Surgery· Pensacola, FL
Surgery, Vascular Surgery in Pensacola, Florida, registered in NPPES in November 2008. The authorized official on file is Christopher J. Lecroy, MD, Owner, Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1285888180 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 5, 2008 |
| Last updated in NPPES | Jun 12, 2020 |
| Certified by provider | Jun 12, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
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 (FL) |
|---|
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