Peacehealth
NPI 1609061969ActiveOrganization· Surgery· Vancouver, WA
Surgery in Vancouver, Washington, registered in NPPES in September 2007. The authorized official on file is Darrin Montalvo, Evp Chief Finan-Growth Officer. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1609061969 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 10, 2007 |
| Last updated in NPPES | Mar 8, 2021 |
| Certified by provider | Mar 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | MD00027022 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (WA) |
|---|
Other Surgery providers in Vancouver
- 1265759708
- 1184780884
- 1265473623
- 1710093422
- 1407008279
- 1275647422
- 1659858132
- 1639262223
- 1508802869
- 1548202088
- 1316152457
- 1194936609