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Way Out West Spine and Mobility PLLC

NPI 1942769476ActiveOrganization· Anesthesiology, Pain Medicine· Fort Worth, TX

Anesthesiology, Pain Medicine in Fort Worth, Texas, registered in NPPES in March 2019. The authorized official on file is Mike Martinez, DO, Lead Physician. Enrolled in Medicare as dme supplier - physician - general practice and part b supplier - clinic/group practice.

Overview

NPI1942769476
StatusActive
Entity typeOrganization
NPI issuedMar 14, 2019
Last updated in NPPESJul 26, 2022
Certified by providerJul 26, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Anesthesiology, Pain Medicine Primary207LP2900X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Physician - General Practice (TX); Part B Supplier - Clinic/Group Practice (TX)

Medicare sources and data years

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