Coronado Anesthesia PLLC
NPI 1336569581ActiveOrganization· Nurse Anesthetist, Certified Registered· Phoenix, AZ
Nurse Anesthetist, Certified Registered in Phoenix, Arizona, registered in NPPES in April 2014. The authorized official on file is Michael R. Mills, M.D., Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336569581 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 25, 2014 |
| Last updated in NPPES | Feb 3, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
| Anesthesiology | 207L00000X | — | — |
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 (AZ) |
|---|
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