Legacy Anesthesia LLC
NPI 1851764112ActiveOrganization· Anesthesiology· Heber City, UT
Anesthesiology in Heber City, Utah, registered in NPPES in November 2015. The authorized official on file is Michael Dagley, CRNA, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1851764112 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 9, 2015 |
| Last updated in NPPES | Nov 16, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | 120505 | UT |
| Nurse Anesthetist, Certified Registered | 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 (UT) |
|---|
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