Spine Surgery Service, PLLC
NPI 1902386477ActiveOrganization· Physician Assistant, Surgical· Addison, TX
Physician Assistant, Surgical in Addison, Texas, registered in NPPES in August 2018. The authorized official on file is Michael Hennessy, MD, Mbr.
Overview
| NPI | 1902386477 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 15, 2018 |
| Last updated in NPPES | Sep 7, 2023 |
| Certified by provider | Sep 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 |
|---|
Other Physician Assistant, Surgical providers in Addison
- 1104342948
- 1811473044
- 1538631676
- 1013021161
- 1407864119
- 1659777142