643 Extenders LLC
NPI 1821904863ActiveOrganization· Physician Assistant, Surgical· Shreveport, LA
Physician Assistant, Surgical in Shreveport, Louisiana, registered in NPPES in August 2026. The authorized official on file is John David Googe, MD, President.
Overview
| NPI | 1821904863 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 20, 2026 |
| Last updated in NPPES | Aug 20, 2026 |
| Certified by provider | Aug 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | — | — |
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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