Premier Sports Medicine, Inc.
NPI 1659846293ActiveOrganization· General Practice· Soldotna, AK
General Practice in Soldotna, Alaska, registered in NPPES in October 2018. The authorized official on file is Cheryl Kay Larson, Owner/Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1659846293 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 10, 2018 |
| Last updated in NPPES | Oct 10, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
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 (AK) |
|---|
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