Civista Clinical Services, LLC
NPI 1710247440ActiveOrganization· Surgery· La Plata, MD
Surgery in La Plata, Maryland, registered in NPPES in May 2012, part of Civista Clinical Services, LLC. The authorized official on file is Stephanie Simm, Physician Relations Specialist.
Overview
| NPI | 1710247440 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Civista Clinical Services, LLC |
| NPI issued | May 29, 2012 |
| Last updated in NPPES | Jun 12, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Otolaryngology | 207Y00000X | — | — |
| Surgery, Vascular Surgery | 2086S0129X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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