Triad Complete Healthcare A10 LLC
NPI 1528749041ActiveOrganization· Family Medicine· Shawnee, OK
Family Medicine in Shawnee, Oklahoma, registered in NPPES in July 2023. The authorized official on file is Eric Winegardner, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528749041 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 27, 2023 |
| Last updated in NPPES | Feb 5, 2024 |
| Certified by provider | Feb 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
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 (OK) |
|---|
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