Premier General and Colorectal Surgery, PA
NPI 1760738207ActiveOrganization· Specialist· Shenandoah, TX
Specialist in Shenandoah, Texas, registered in NPPES in August 2012. The authorized official on file is Cindy Kim, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1760738207 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 2, 2012 |
| Last updated in NPPES | Mar 7, 2023 |
| Certified by provider | Jun 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | N3791 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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