Southwest General Medical Group
NPI 1639610702ActiveOrganization· Physician Assistant, Medical· Cleveland, OH
Physician Assistant, Medical in Cleveland, Ohio, registered in NPPES in March 2017. The authorized official on file is Heather Wagner, Executive Director.
Overview
| NPI | 1639610702 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 9, 2017 |
| Last updated in NPPES | Feb 28, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 50005004 | OH |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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