Pinelake Physician Practice LLC
NPI 1912216532ActiveOrganization· Family Medicine· Mayfield, KY
Family Medicine in Mayfield, Kentucky, registered in NPPES in September 2010. The authorized official on file is Denis Miller, Regional Director.
Overview
| NPI | 1912216532 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 30, 2010 |
| Last updated in NPPES | Sep 30, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Family Medicine, Sports Medicine | 207QS0010X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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