Fort Worth Vascular and Surgical Associates, PA
NPI 1851668925ActiveOrganization· Surgery, Vascular Surgery· Fort Worth, TX
Surgery, Vascular Surgery in Fort Worth, Texas, registered in NPPES in November 2011. The authorized official on file is Martha E. Providenza, Administration. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1851668925 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 17, 2011 |
| Last updated in NPPES | Nov 8, 2024 |
| Certified by provider | Nov 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | J6980 | TX |
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) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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