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Psj Anesthesia PC

NPI 1275905796ActiveOrganization· Nurse Anesthetist, Certified Registered· Southfield, MI

Nurse Anesthetist, Certified Registered in Southfield, Michigan, registered in NPPES in October 2015. The authorized official on file is Dominick Lago, MD, President/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1275905796
StatusActive
Entity typeOrganization
NPI issuedOct 23, 2015
Last updated in NPPESOct 23, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Anesthetist, Certified Registered Primary367500000X——

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)Enrolled Part B Supplier - Clinic/Group Practice (MI)

Medicare sources and data years

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