Legendmed PLLC
NPI 1780359653ActiveOrganization· Nurse Anesthetist, Certified Registered· Goodyear, AZ
Nurse Anesthetist, Certified Registered in Goodyear, Arizona, registered in NPPES in August 2021. The authorized official on file is Kenneth Jordan Whiting, CRNA, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1780359653 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 12, 2021 |
| Last updated in NPPES | Aug 12, 2021 |
| Certified by provider | Aug 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
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 (AZ) |
|---|
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