Pophealthcare Medical Services of Az, PC
NPI 1760884175ActiveOrganization· Nurse Practitioner· Tempe, AZ
Nurse Practitioner in Tempe, Arizona, registered in NPPES in September 2014. The authorized official on file is Susan Porter, Manager, Credentialing & Licensing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1760884175 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 17, 2014 |
| Last updated in NPPES | Jul 30, 2024 |
| Certified by provider | Jul 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Nurse Practitioner, Adult Health | 363LA2200X | — | — |
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 Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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