Gary M Petrus MD PA
NPI 1871666446ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· North Little Rock, AR
Surgery, Plastic and Reconstructive Surgery in North Little Rock, Arkansas, registered in NPPES in November 2006. The authorized official on file is Gary Michael Petrus, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1871666446 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 15, 2006 |
| Last updated in NPPES | Jan 28, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | C7318 | AR |
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) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|