Forth Worth Surgical Associates PA
NPI 1679561641ActiveOrganization· Surgery· Fort Worth, TX
Surgery in Fort Worth, Texas, registered in NPPES in October 2005. The authorized official on file is William Robert Pettey, MD, Owner.
Overview
| NPI | 1679561641 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 12, 2005 |
| Last updated in NPPES | Nov 28, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | G8340 | TX |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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