Ketamine Health & Restoration, LLC.
NPI 1780461582ActiveOrganization· Anesthesiology· Laurel, MD
Anesthesiology in Laurel, Maryland, registered in NPPES in September 2023. The authorized official on file is Tiffany Owens, MD, Owner.
Overview
| NPI | 1780461582 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 13, 2023 |
| Last updated in NPPES | May 17, 2024 |
| Certified by provider | May 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Anesthesiology providers in Laurel
- 1003235045
- 1053736157
- 1689546830
- 1437996204
- 1740169671
- 1679762801
- 1700201803
- 1518992122