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NPI 1063792539ActiveOrganization· Specialist· Aurora, OH

Specialist in Aurora, Ohio, registered in NPPES in August 2011. The authorized official on file is Pamela M. Anderson, LME, Owner.

Overview

NPI1063792539
StatusActive
Entity typeOrganization
NPI issuedAug 28, 2011
Last updated in NPPESAug 28, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000XESTM 071064OH

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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

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