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NPI 1588714109ActiveOrganization· Physician Assistant· Charlotte, NC
Physician Assistant in Charlotte, North Carolina, registered in NPPES in January 2007. The authorized official on file is Mark A. Caskey, COHC, Vp Risk Manager.
Overview
| NPI | 1588714109 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 12, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Chiropractor | 111N00000X | — | — |
| Family Medicine | 207Q00000X | 34951 | NC |
| Physical Therapist | 225100000X | — | — |
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 |
|---|
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