Stage Two Anesthesia PLLC
NPI 1063709392ActiveOrganization· Nurse Anesthetist, Certified Registered· Nashville, TN
Nurse Anesthetist, Certified Registered in Nashville, Tennessee, registered in NPPES in July 2011. The authorized official on file is Victor L. Martin, CRNA, Owner / Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063709392 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 7, 2011 |
| Last updated in NPPES | Feb 10, 2020 |
| Certified by provider | Feb 10, 2020 |
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 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 (TN) |
|---|
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