Rejuvenation Medspa
NPI 1780158287ActiveOrganization· Family Medicine· Bridgeport, WV
Family Medicine in Bridgeport, West Virginia, registered in NPPES in January 2019. The authorized official on file is Timothy Michael Peasak, DO, Owner/Provider.
Overview
| NPI | 1780158287 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 17, 2019 |
| Last updated in NPPES | Jan 17, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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