Ketamine Wellness Centers Arizona LLC
NPI 1477935369ActiveOrganization· Anesthesiology· Mesa, AZ
Anesthesiology in Mesa, Arizona, registered in NPPES in June 2015. The authorized official on file is Anita Jerger, Executive Assistant.
Overview
| NPI | 1477935369 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 26, 2015 |
| Last updated in NPPES | Aug 21, 2020 |
| Certified by provider | Aug 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | — | — |
| Psychiatry & Neurology, Pain Medicine | 2084P2900X | — | — |
| Pain Medicine, Pain Medicine | 208VP0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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All 78 anesthesiologists in Mesa · All anesthesiologists in Arizona