Icc Medical LLC
NPI 1376730705ActiveOrganization· Nurse Practitioner, Family· Glasgow, KY
Nurse Practitioner, Family in Glasgow, Kentucky, registered in NPPES in October 2007. The authorized official on file is Roger Williams, MD, Owner.
Overview
| NPI | 1376730705 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 1, 2007 |
| Last updated in NPPES | Oct 1, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 4074P | KY |
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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