Philip C. Marin, MD Prof LLC
NPI 1497934558ActiveOrganization· Plastic Surgery· Pueblo, CO
Plastic Surgery in Pueblo, Colorado, registered in NPPES in October 2007. The authorized official on file is Philip C. Marin, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1497934558 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 25, 2007 |
| Last updated in NPPES | Oct 25, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | 40500 | CO |
| Plastic Surgery, Surgery of the Hand | 2082S0105X | 40500 | CO |
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 (CO) |
|---|
Other Plastic Surgery providers in Pueblo
- 1013949288
- 1205868544