St Paul Place Specialists, Inc.
NPI 1366317539ActiveOrganization· Surgery· Hagerstown, MD
Surgery in Hagerstown, Maryland, registered in NPPES in October 2025. The authorized official on file is Justin Deibel, Executive Vice President/Cfo.
Overview
| NPI | 1366317539 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 8, 2025 |
| Last updated in NPPES | Oct 8, 2025 |
| Certified by provider | Oct 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Physician Assistant, Surgical | 363AS0400X | — | — |
| 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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