Rocky Mountain State Anesthesia Providers
NPI 1730692054ActiveOrganization· Anesthesiology· Greeley, CO
Anesthesiology in Greeley, Colorado, registered in NPPES in November 2017. The authorized official on file is Mario J. Carmosino, MD, Md. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1730692054 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 8, 2017 |
| Last updated in NPPES | Jan 24, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | — | — |
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 (CO); Part B Supplier - Clinic/Group Practice (WY) |
|---|
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