General and Vascular Surgery of Ennis PA
NPI 1679564124ActiveOrganization· Surgery· Ennis, TX
Surgery in Ennis, Texas, registered in NPPES in November 2005. The authorized official on file is John M. Sullivan, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679564124 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 3, 2005 |
| Last updated in NPPES | Jun 14, 2024 |
| Certified by provider | Jun 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | 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) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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