Carondelet Physician Services Inc
NPI 1811293582ActiveOrganization· Family Medicine· Oak Grove, MO
Family Medicine in Oak Grove, Missouri, registered in NPPES in January 2011, part of Carondelet Health. The authorized official on file is Steven R. Cleary, Vp/Cfo.
Overview
| NPI | 1811293582 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Carondelet Health |
| NPI issued | Jan 28, 2011 |
| Last updated in NPPES | May 4, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 34421 | MO |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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