Prosper Ketamine & IV Nutrition Therapy LLC
NPI 1174300693ActiveOrganization· Anesthesiology, Pain Medicine· McKinney, TX
Anesthesiology, Pain Medicine in McKinney, Texas, registered in NPPES in September 2023. The authorized official on file is Bercey Ntoung, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174300693 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 8, 2023 |
| Last updated in NPPES | Oct 23, 2023 |
| Certified by provider | Oct 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology, Pain Medicine Primary | 207LP2900X | — | — |
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 (TX) |
|---|
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