Carolina Vascular Specialists, PA
NPI 1750671723ActiveOrganization· Surgery, Vascular Surgery· Mooresville, NC
Surgery, Vascular Surgery in Mooresville, North Carolina, registered in NPPES in April 2011. The authorized official on file is Wallace C. Tarry, M.D., Owner/Provider.
Overview
| NPI | 1750671723 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 12, 2011 |
| Last updated in NPPES | Oct 13, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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