Pine Bluff Surgical Clinic, Inc
NPI 1821148586ActiveOrganization· Specialist· Pine Bluff, AR
Specialist in Pine Bluff, Arkansas, registered in NPPES in January 2007. The authorized official on file is George Vaiden Roberson, M.D., President.
Overview
| NPI | 1821148586 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 12, 2007 |
| Last updated in NPPES | Apr 29, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | R1682 | AR |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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