Defy Age Med Spa, PLLC
NPI 1407515141ActiveOrganization· Anesthesiology, Pain Medicine· Conway, AR
Anesthesiology, Pain Medicine in Conway, Arkansas, registered in NPPES in December 2021. The authorized official on file is Heather Whaley, MD, Owner.
Overview
| NPI | 1407515141 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 9, 2021 |
| Last updated in NPPES | Dec 9, 2021 |
| Certified by provider | Dec 9, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology, Pain Medicine Primary | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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