Rockford Anesthesiologists Associated, L.L.C.
NPI 1629090642ActiveOrganization· Nurse Anesthetist, Certified Registered· Loves Park, IL
Nurse Anesthetist, Certified Registered in Loves Park, Illinois, registered in NPPES in July 2006. The authorized official on file is Bryan J. Newman, Director Of Accounting. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629090642 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 25, 2006 |
| Last updated in NPPES | Jan 20, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
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 (IL) |
|---|
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