St. Matthew Dermatology Clinic, P.A.
NPI 1457532442ActiveOrganization· Dermatology· Odessa, TX
Dermatology in Odessa, Texas, registered in NPPES in November 2007. The authorized official on file is Renato Marquez Oracion, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1457532442 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 18, 2007 |
| Last updated in NPPES | Apr 20, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | L4085 | TX |
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 (TX) |
|---|
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