Superior Vein Care, Pllp
NPI 1609346303ActiveOrganization· Surgery, Vascular Surgery· Meridian, ID
Surgery, Vascular Surgery in Meridian, Idaho, registered in NPPES in November 2018. The authorized official on file is Azul Cohlmia, Chief Operating Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609346303 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 26, 2018 |
| Last updated in NPPES | May 14, 2024 |
| Certified by provider | May 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
| Clinic/Center | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
Other Surgery, Vascular Surgery providers in Meridian
- 1598717985