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Plastic and Peripheral Nerve Surgery LLC

NPI 1760044325ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Sun Lakes, AZ

Surgery, Plastic and Reconstructive Surgery in Sun Lakes, Arizona, registered in NPPES in July 2019. The authorized official on file is Sean Wolfort, MD, Member. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1760044325
StatusActive
Entity typeOrganization
NPI issuedJul 3, 2019
Last updated in NPPESJul 18, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Surgery, Plastic and Reconstructive Surgery Primary2086S0122X——

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 (AZ)

Medicare sources and data years