Southern Wv Medical and Surgical Specialists PLLC
NPI 1497103386ActiveOrganization· Otolaryngology· Lewisburg, WV
Otolaryngology in Lewisburg, West Virginia, registered in NPPES in June 2016. The authorized official on file is Justin Wayne Douglas, M.D., Owner/President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1497103386 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 1, 2016 |
| Last updated in NPPES | Jun 22, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | 23770 | WV |
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 (WV) |
|---|
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