Osceola Surgical Associates LLC
NPI 1497425714ActiveOrganization· Surgery· Sanford, FL
Surgery in Sanford, Florida, registered in NPPES in September 2021, part of Osceola Surgical Associates LLC. The authorized official on file is William Tedrick Johnson, Vice President.
Overview
| NPI | 1497425714 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Osceola Surgical Associates LLC |
| NPI issued | Sep 17, 2021 |
| Last updated in NPPES | Sep 17, 2021 |
| Certified by provider | Sep 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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