Perfusion Vascular Vidalia LLC
NPI 1356875637ActiveOrganization· Surgery, Vascular Surgery· Vidalia, LA
Surgery, Vascular Surgery in Vidalia, Louisiana, registered in NPPES in April 2017. The authorized official on file is Shaun R. Carpenter, M.D., Owner.
Overview
| NPI | 1356875637 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 13, 2017 |
| Last updated in NPPES | Jun 25, 2021 |
| Certified by provider | Jun 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|