Phoenix Surgical Care LLC
NPI 1518593797ActiveOrganization· Surgery· Frederick, MD
Surgery in Frederick, Maryland, registered in NPPES in March 2020. The authorized official on file is Jasmine Malcolm, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1518593797 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 19, 2020 |
| Last updated in NPPES | Jul 12, 2022 |
| Certified by provider | Jul 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
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 (MD) |
|---|
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