Park City Pedorthics
NPI 1407492671ActiveOrganization· Pedorthist· Merrill, WI
Pedorthist in Merrill, Wisconsin, registered in NPPES in November 2019. The authorized official on file is Tasha Gleason, C.PED, Owner.
Overview
| NPI | 1407492671 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 22, 2019 |
| Last updated in NPPES | Jan 23, 2020 |
| Certified by provider | Jan 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pedorthist Primary | 224L00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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 |
|---|
Other Pedorthist providers in Merrill
- 1427616242