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NPISignal

Individual Healthcare Provider

William J Kaiser, MD

NPI Record: ActiveSurgery — Vascular Surgery
NPI1003883612
Pensacola, Florida

Provider's NPPES record last updated: May 13, 2021

Overview

Entity Type
Individual Healthcare Provider
NPI
1003883612
Primary Specialty
Surgery — Vascular Surgery
Practice Location
Pensacola, Florida
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 10:51 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Surgery

    Vascular Surgery

    Allopathic & Osteopathic Physicians

    Primary

    A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

    Taxonomy code 2086S0129X

Provider-Reported License Information

Surgery (Florida)
ME146721
Surgery (Georgia)
034166
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

5149 N 9th Ave Ste 120

Pensacola, Florida 32504-8734

Phone: (850) 479-1805

Additional Practice Location

1007 Greenfield Dr

Tifton, Georgia 31794-3795

Phone: (229) 382-9733

Fax: (229) 387-6161

Additional Practice Location

1641 Madison Ave

Tifton, Georgia 31794-3757

Phone: (229) 353-2284

Fax: (229) 353-2284

Record Information

Enumeration Date
March 2, 2006
Provider's NPPES Record Last Updated
May 13, 2021
Certification Date
May 13, 2021
NPISignal NPPES Dataset
August 2026

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