Fourth Corner Neurosurgical Associates Inc Ps
NPI 1699846386ActiveOrganization· Neurological Surgery· Bellingham, WA
Neurological Surgery in Bellingham, Washington, registered in NPPES in November 2006, part of Fourth Corner Neurosurgical Associates Inc Ps. The authorized official on file is Thomas Richard Flory, Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1699846386 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Fourth Corner Neurosurgical Associates Inc Ps |
| NPI issued | Nov 13, 2006 |
| Last updated in NPPES | Jul 5, 2022 |
| Certified by provider | Jul 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Neurological Surgery Primary | 207T00000X | — | WA |
| Specialist | 174400000X | — | — |
| Anesthesiology, Pain Medicine | 207LP2900X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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