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Monarch Plastic Surgery P A

NPI 1710934245ActiveOrganization· Specialist· Leawood, KS

Specialist in Leawood, Kansas, registered in NPPES in May 2006. The authorized official on file is Dustin Carrillo, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI1710934245
StatusActive
Entity typeOrganization
NPI issuedMay 29, 2006
Last updated in NPPESJul 17, 2026
Certified by providerJul 17, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (KS); Part B Supplier - Clinic/Group Practice (MO)

Medicare sources and data years

Other Specialist providers in Leawood

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