Impact Physician Group, Washington LLC
NPI 1457008971ActiveOrganization· Internal Medicine· Vancouver, WA
Internal Medicine in Vancouver, Washington, registered in NPPES in March 2022. The authorized official on file is Paul Miller, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1457008971 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 4, 2022 |
| Last updated in NPPES | Mar 4, 2022 |
| Certified by provider | Mar 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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