Mb Anesthesiology LLC
NPI 1003640442ActiveOrganization· Nurse Anesthetist, Certified Registered· Mesa, AZ
Nurse Anesthetist, Certified Registered in Mesa, Arizona, registered in NPPES in August 2024. The authorized official on file is Marshall B. Bergen, CRNA, Sole Mbr. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003640442 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 28, 2024 |
| Last updated in NPPES | Aug 28, 2024 |
| Certified by provider | Aug 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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