Square One Surgical Associates
NPI 1366183097ActiveOrganization· Physician Assistant, Surgical· Chesterfield, MO
Physician Assistant, Surgical in Chesterfield, Missouri, registered in NPPES in April 2022. The authorized official on file is Andrew Sheridan, CSFA, Csfa.
Overview
| NPI | 1366183097 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 5, 2022 |
| Last updated in NPPES | May 6, 2022 |
| Certified by provider | May 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | — | — |
| Surgery | 208600000X | — | — |
| Specialist/Technologist, Other, Surgical Assistant | 246ZC0007X | — | — |
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 |
|---|
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