Skip to content

West Coast Surgical Group PLLC

NPI 1679847529ActiveOrganization· Surgery· Bradenton, FL

Surgery in Bradenton, Florida, registered in NPPES in February 2012. The authorized official on file is Paige Koenig Pennebacker, Md.

Overview

NPI1679847529
StatusActive
Entity typeOrganization
NPI issuedFeb 23, 2012
Last updated in NPPESJan 24, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Surgery Primary208600000XME62365FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Surgery providers in Bradenton

All Surgery providers in Florida →