Independant Anesthesiologists PSC
NPI 1073781167ActiveOrganization· Nurse Anesthetist, Certified Registered· Edgewood, KY
Nurse Anesthetist, Certified Registered in Edgewood, Kentucky, registered in NPPES in February 2008, part of Independant Anesthesiologists PSC. The authorized official on file is Richard Eldon Park, MD, President.
Overview
| NPI | 1073781167 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Independant Anesthesiologists PSC |
| NPI issued | Feb 12, 2008 |
| Last updated in NPPES | May 1, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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