Associated Anesthesiologists of Fort Wayne PC
NPI 1538159140ActiveOrganization· Anesthesiology· Fort Wayne, IN
Anesthesiology in Fort Wayne, Indiana, registered in NPPES in October 2005. The authorized official on file is Tiffany Ann Jolley, National Credentialing Director. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1538159140 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 25, 2005 |
| Last updated in NPPES | Oct 21, 2024 |
| Certified by provider | Oct 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | — | — |
| Nurse Anesthetist, Certified Registered | 367500000X | — | — |
| Anesthesiologist Assistant | 367H00000X | — | — |
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 (IN); Part B Supplier - Clinic/Group Practice (OH) |
|---|
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