Defatta ENT & Facial Plastic Surgery SC
NPI 1346664059ActiveOrganization· Specialist· Altoona, WI
Specialist in Altoona, Wisconsin, registered in NPPES in February 2014. The authorized official on file is Robert Joseph Defatta, MD, PH D, FACS, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1346664059 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 17, 2014 |
| Last updated in NPPES | May 5, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 55984-20 | WI |
| Clinic/Center, Medical Specialty | 261QM2500X | 55984-20 | WI |
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) |
|---|