Surgery One Anesthesia, LLC
NPI 1144724402ActiveOrganization· Anesthesiology· Fort Wayne, IN
Anesthesiology in Fort Wayne, Indiana, registered in NPPES in March 2018. The authorized official on file is Barbara Janice Hathaway, Credentialing Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1144724402 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 21, 2018 |
| Last updated in NPPES | Mar 27, 2025 |
| Certified by provider | Mar 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | — | — |
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 (IN) |
|---|
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