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Southern Colorado Anesthesia Professional LLC

NPI 1164668216ActiveOrganization· Anesthesiology· Pueblo, CO

Anesthesiology in Pueblo, Colorado, registered in NPPES in December 2008. The authorized official on file is John R. Sandoval, MD, Managing Partner.

Overview

NPI1164668216
StatusActive
Entity typeOrganization
NPI issuedDec 19, 2008
Last updated in NPPESDec 19, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Anesthesiology Primary207L00000XDR-38609CO

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

Other Anesthesiology providers in Pueblo

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