Great Lakes Anesthesia and Pain Specialists SC
NPI 1720218647ActiveOrganization· Anesthesiology· Franklin, WI
Anesthesiology in Franklin, Wisconsin, registered in NPPES in July 2009. The authorized official on file is Jennifer Boyd Baldock, Officer And Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720218647 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 27, 2009 |
| Last updated in NPPES | Feb 19, 2025 |
| Certified by provider | Feb 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | — | WI |
| Anesthesiology, Pain Medicine | 207LP2900X | — | WI |
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 (WI) |
|---|
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