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Savannah House

NPI 1831740018ActiveIndividual· Physician Assistant· Muskogee, OK

Physician Assistant in Muskogee, Oklahoma, with an NPI issued in September 2019.

Overview

NPI1831740018
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedSep 27, 2019
Last updated in NPPESSep 4, 2025
Certified by providerSep 4, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Muskogee

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