Highland Clinic, A Prof Med Corp
NPI 1740897743ActiveOrganization· Orthopaedic Surgery· Bossier City, LA
Orthopaedic Surgery in Bossier City, Louisiana, registered in NPPES in September 2020. The authorized official on file is Michael Gustavson, Administrator. Enrolled in Medicare as dme supplier - multi-specialty - physician.
Overview
| NPI | 1740897743 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 24, 2020 |
| Last updated in NPPES | Jun 2, 2026 |
| Certified by provider | Jun 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
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 - Multi-Specialty - Physician (LA) |
|---|
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