Preferred Surgical Associates
NPI 1790043453ActiveOrganization· Surgery· Tazewell, TN
Surgery in Tazewell, Tennessee, registered in NPPES in May 2012. The authorized official on file is Robert J. Wilmoth, MD, Sole Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1790043453 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 1, 2012 |
| Last updated in NPPES | Jun 29, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | TN |
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) | Enrolled Part B Supplier - Clinic/Group Practice (KY); Part B Supplier - Clinic/Group Practice (TN) |
|---|
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