Greenbrier Valley Anesthesia LLC
NPI 1902849706ActiveOrganization· General Practice· Ronceverte, WV
General Practice in Ronceverte, West Virginia, registered in NPPES in June 2006. The authorized official on file is Jennifer L. Jackson, Senior Dir. Of Provider Enrollment.
Overview
| NPI | 1902849706 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 13, 2006 |
| Last updated in NPPES | Apr 12, 2022 |
| Certified by provider | Apr 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Anesthesiology | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 General Practice providers in Ronceverte
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