East Texas First Surgical Support PLLC
NPI 1568009058ActiveOrganization· Surgery· Tyler, TX
Surgery in Tyler, Texas, registered in NPPES in December 2019. The authorized official on file is Ken Kaminski, Manager.
Overview
| NPI | 1568009058 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 4, 2019 |
| Last updated in NPPES | Sep 7, 2023 |
| Certified by provider | Sep 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Physician Assistant, Surgical | 363AS0400X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Surgery providers in Tyler
- 1396773339
- 1750383386
- 1518013614
- 1245456375
- 1922298876
- 1265886774
- 1225013915
- 1235254384
- 1902803679
- 1043206774
- 1457321853
- 1891043956