Ips of St Louis LLC
NPI 1316182173ActiveOrganization· Nurse Anesthetist, Certified Registered· Saint Louis, MO
Nurse Anesthetist, Certified Registered in Saint Louis, Missouri, registered in NPPES in December 2008. The authorized official on file is Carl R. Noback, MD, Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316182173 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 9, 2008 |
| Last updated in NPPES | Oct 6, 2020 |
| Certified by provider | Oct 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
| Anesthesiology | 207L00000X | — | — |
| Anesthesiology, Pain Medicine | 207LP2900X | — | — |
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 (MO) |
|---|
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