Blue Heron Medical Group LLC
NPI 1861686313ActiveOrganization· Internal Medicine· Pocomoke City, MD
Internal Medicine in Pocomoke City, Maryland, registered in NPPES in August 2007. The authorized official on file is Paul Reardon Fleury, M.D., Doctor.
Overview
| NPI | 1861686313 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 28, 2007 |
| Last updated in NPPES | Mar 1, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | D24872 | MD |
| Family Medicine | 207Q00000X | D058928 | MD |
| Family Medicine | 207Q00000X | D45995 | MD |
| Internal Medicine | 207R00000X | D24871 | MD |
| Internal Medicine | 207R00000X | D36576 | MD |
| Nurse Practitioner, Family | 363LF0000X | Q37875 | MD |
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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