Mason Pham
NPI 1144905886ActiveIndividual· Nurse Anesthetist, Certified Registered· Harrogate, TN
Nurse Anesthetist, Certified Registered with Commonwealth Anesthesia, PSC, practicing in Harrogate, Tennessee. Enrolled in Medicare as practitioner - certified registered nurse anesthetist (crna). Lists Saint Joseph Hospital as a hospital affiliation.
Overview
| NPI | 1144905886 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 20, 2023 |
| Last updated in NPPES | Dec 19, 2025 |
| Certified by provider | Dec 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 4050471 | KY |
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 Practitioner - Certified Registered Nurse Anesthetist (CRNA) (KY) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Commonwealth Anesthesia, PSCPaducah, KY · 178 clinicians
Hospital affiliation
- Saint Joseph HospitalLexington, KY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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