Jefferson Emergency Services, PLLC
NPI 1720495336ActiveOrganization· Emergency Medicine· Jefferson, NC
Emergency Medicine in Jefferson, North Carolina, registered in NPPES in July 2014. The authorized official on file is Kim H. Larsen, Director Of Credentialing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720495336 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 15, 2014 |
| Last updated in NPPES | Feb 5, 2020 |
| Certified by provider | Feb 5, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
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 (NC) |
|---|
Other emergency medicine physicians in Jefferson
- 1508326521
- 1316045800