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Pulaski Anesthesia Services LLC

NPI 1780047506ActiveOrganization· Nurse Anesthetist, Certified Registered· Pulaski, TN

Nurse Anesthetist, Certified Registered in Pulaski, Tennessee, registered in NPPES in March 2016. The authorized official on file is Robert Clemens, MD, PHD, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1780047506
StatusActive
Entity typeOrganization
NPI issuedMar 30, 2016
Last updated in NPPESFeb 21, 2020
Certified by providerFeb 21, 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)Enrolled Part B Supplier - Clinic/Group Practice (TN)

Medicare sources and data years

Other nurse anesthetists in Pulaski

All nurse anesthetists in Tennessee