Camden-Clark Physician Corporation
NPI 1710125430ActiveOrganization· Surgery· Parkersburg, WV
Surgery in Parkersburg, West Virginia, registered in NPPES in February 2009. The authorized official on file is Sean Smith, Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1710125430 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 3, 2009 |
| Last updated in NPPES | Oct 6, 2023 |
| Certified by provider | Oct 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Obstetrics & Gynecology | 207V00000X | — | — |
| Orthopaedic Surgery | 207X00000X | — | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OH); Part B Supplier - Clinic/Group Practice (WV) |
|---|
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