Pinehurst Surgical Clinic, PA
NPI 1710609276ActiveOrganization· Surgery· Fayetteville, NC
Surgery in Fayetteville, North Carolina, registered in NPPES in September 2022, part of Pinehurst Surgical Clinic PA. The authorized official on file is Katie Richardson Heffner, Credentialing Coordinator. Enrolled in Medicare as dme supplier - multi-specialty - physician.
Overview
| NPI | 1710609276 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Pinehurst Surgical Clinic PA |
| NPI issued | Sep 13, 2022 |
| Last updated in NPPES | Sep 13, 2022 |
| Certified by provider | Sep 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
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 DME Supplier - Multi-Specialty - Physician (NC) |
|---|
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