Southern Urology LLC
NPI 1386352151ActiveOrganization· Urology· Opelousas, LA
Urology in Opelousas, Louisiana, registered in NPPES in November 2022, part of Southern Urology LLC. The authorized official on file is Mark Robert Eldredge, Ao. Enrolled in Medicare as dme supplier - physician - urology.
Overview
| NPI | 1386352151 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Southern Urology LLC |
| NPI issued | Nov 10, 2022 |
| Last updated in NPPES | Apr 2, 2024 |
| Certified by provider | Apr 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | — |
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) | Enrolled DME Supplier - Physician - Urology (LA) |
|---|
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