Morenci Medical Assoc, PC
NPI 1962690735ActiveOrganization· Family Medicine· Wauseon, OH
Family Medicine in Wauseon, Ohio, registered in NPPES in October 2007, part of Morenci Medical Assoc, PC. The authorized official on file is Shivaprasas K. Shetty, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962690735 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Morenci Medical Assoc, PC |
| NPI issued | Oct 5, 2007 |
| Last updated in NPPES | Oct 5, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 35-06-8087S | OH |
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 (OH) |
|---|
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