Highland Clinic, A Prof Med Corp
NPI 1700259678ActiveOrganization· Orthopaedic Surgery· Shreveport, LA
Orthopaedic Surgery in Shreveport, Louisiana, registered in NPPES in November 2015. The authorized official on file is Michael Gustavson, Administrator. Enrolled in Medicare as dme supplier - physician - orthopedic/orthopedic surgery.
Overview
| NPI | 1700259678 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 2, 2015 |
| Last updated in NPPES | Jun 2, 2026 |
| Certified by provider | Jun 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | LA |
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 DME Supplier - Physician - Orthopedic/Orthopedic Surgery (LA) |
|---|
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