Port City Plastic Surgery, LLC
NPI 1437385788ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· North Charleston, SC
Surgery, Plastic and Reconstructive Surgery in North Charleston, South Carolina, registered in NPPES in June 2009. The authorized official on file is Brian G. Widenhouse, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1437385788 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 1, 2009 |
| Last updated in NPPES | Mar 9, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | 200096 | SC |
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 Part B Supplier - Clinic/Group Practice (SC) |
|---|
Other Surgery, Plastic and Reconstructive Surgery providers in North Charleston
- 1265481543
All Surgery, Plastic and Reconstructive Surgery providers in South Carolina