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Main Line Gastroenterology Associates, PC

NPI 1053557082ActiveOrganization· Nurse Anesthetist, Certified Registered· Paoli, PA

Nurse Anesthetist, Certified Registered in Paoli, Pennsylvania, registered in NPPES in December 2008. The authorized official on file is Ellie Suder, Billing Manager.

Overview

NPI1053557082
StatusActive
Entity typeOrganization
NPI issuedDec 22, 2008
Last updated in NPPESDec 22, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Anesthetist, Certified Registered Primary367500000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other nurse anesthetists in Paoli

All 21 nurse anesthetists in Paoli · All nurse anesthetists in Pennsylvania