River City Dermatology and Aesthetics LLC
NPI 1528812203ActiveOrganization· Dermatology· Vicksburg, MS
Dermatology in Vicksburg, Mississippi, registered in NPPES in April 2024. The authorized official on file is Leah J. Calder, PA, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528812203 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 17, 2024 |
| Last updated in NPPES | May 15, 2024 |
| Certified by provider | May 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
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 (MS) |
|---|
Other Dermatology providers in Vicksburg
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