Summit Anesthesia PLLC
NPI 1609385509ActiveOrganization· Nurse Anesthetist, Certified Registered· Kennewick, WA
Nurse Anesthetist, Certified Registered in Kennewick, Washington, registered in NPPES in September 2017. The authorized official on file is Tyler Rex Thornock, CRNA, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609385509 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 22, 2017 |
| Last updated in NPPES | Mar 17, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 604089025 | WA |
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) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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