Art of Modern Anesthesia PC
NPI 1063824969ActiveOrganization· Nurse Anesthetist, Certified Registered· Ogden, UT
Nurse Anesthetist, Certified Registered in Ogden, Utah, registered in NPPES in May 2014. The authorized official on file is Manardie Francis Shimata, CRNA, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063824969 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 27, 2014 |
| Last updated in NPPES | Jan 30, 2025 |
| Certified by provider | Jan 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 2775864406 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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All 45 nurse anesthetists in Ogden · All nurse anesthetists in Utah