Southern Urology, LLC
NPI 1740441955ActiveOrganization· Urology· Lafayette, LA
Urology in Lafayette, Louisiana, registered in NPPES in June 2008. The authorized official on file is Mark R. Eldredge, Manager. Enrolled in Medicare as dme supplier - physician - urology and part b supplier - clinic/group practice.
Overview
| NPI | 1740441955 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 19, 2008 |
| Last updated in NPPES | Jul 17, 2024 |
| Certified by provider | Jul 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Urology (LA); Part B Supplier - Clinic/Group Practice (LA) |
|---|
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