Specialty Physician Assistant,llc
NPI 1528484037ActiveOrganization· Clinic/Center· Elkhorn City, KY
Clinic/Center in Elkhorn City, Kentucky, registered in NPPES in March 2014. The authorized official on file is Nichol Burchfield, PA-C, Owner/Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528484037 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 7, 2014 |
| Last updated in NPPES | Nov 29, 2023 |
| Certified by provider | Nov 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | KY |
| Family Medicine | 207Q00000X | — | KY |
| Physician Assistant | 363A00000X | — | KY |
| Nurse Practitioner | 363L00000X | — | KY |
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 (KY) |
|---|
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