Center for Plastic & Reconstructive Surgery PSC
NPI 1710084827ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Bowling Green, KY
Surgery, Plastic and Reconstructive Surgery in Bowling Green, Kentucky, registered in NPPES in September 2006. The authorized official on file is Fouad V. Atalla, M.D., President/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710084827 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2006 |
| Last updated in NPPES | Oct 7, 2020 |
| Certified by provider | Oct 7, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | — | — |
| Surgery, Plastic and Reconstructive Surgery | 2086S0122X | 33744 | KY |
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 (KY) |
|---|
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