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Southeast Anesthesia, PLC

NPI 1578163770ActiveOrganization· Nurse Anesthetist, Certified Registered· Bowling Green, KY

Nurse Anesthetist, Certified Registered in Bowling Green, Kentucky, registered in NPPES in October 2020. The authorized official on file is Edward Matthew Demaree, CRNA, Owner.

Overview

NPI1578163770
StatusActive
Entity typeOrganization
NPI issuedOct 27, 2020
Last updated in NPPESOct 27, 2020
Certified by providerOct 27, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Anesthetist, Certified Registered Primary367500000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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