Old Dominion Anesthesia LLC
NPI 1902248677ActiveOrganization· Anesthesiology· Charlottesville, VA
Anesthesiology in Charlottesville, Virginia, registered in NPPES in July 2013. The authorized official on file is Alan Oliver, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1902248677 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 23, 2013 |
| Last updated in NPPES | Jun 5, 2026 |
| Certified by provider | Jun 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | — | — |
| 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 (DC); Part B Supplier - Clinic/Group Practice (VA) |
|---|
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