Mile High Plastic Surgery A Professional LLC
NPI 1982978797ActiveOrganization· Plastic Surgery· Boulder, CO
Plastic Surgery in Boulder, Colorado, registered in NPPES in February 2012. The authorized official on file is Nathan Roesner, D.O., Sole Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1982978797 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 27, 2012 |
| Last updated in NPPES | Oct 20, 2021 |
| Certified by provider | Oct 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | DR-50492 | CO |
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 (CO) |
|---|
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