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American Geriatric Enterprise, Inc.

NPI 1841397072ActiveOrganization· Specialist· Hereford, AZ

Specialist in Hereford, Arizona, registered in NPPES in September 2006. The authorized official on file is Monica R. Vandivort, M.D., Owner.

Overview

NPI1841397072
StatusActive
Entity typeOrganization
NPI issuedSep 20, 2006
Last updated in NPPESOct 18, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X26972AZ

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

Other Specialist providers in Hereford

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