Woodland Park Anesthesia LLC
NPI 1417249996ActiveOrganization· Nurse Anesthetist, Certified Registered· Woodland Park, CO
Nurse Anesthetist, Certified Registered in Woodland Park, Colorado, registered in NPPES in May 2011. The authorized official on file is Lonnie W. Clark, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417249996 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 3, 2011 |
| Last updated in NPPES | Dec 10, 2020 |
| Certified by provider | Dec 10, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | CO |
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 (CO) |
|---|
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