Ttb Services Prof LLC
NPI 1962743492ActiveOrganization· Nurse Anesthetist, Certified Registered· Sioux Falls, SD
Nurse Anesthetist, Certified Registered in Sioux Falls, South Dakota, registered in NPPES in March 2013. The authorized official on file is John Palmer Berdahl, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1962743492 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 7, 2013 |
| Last updated in NPPES | Feb 19, 2024 |
| Certified by provider | Feb 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 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 (IA); Part B Supplier - Clinic/Group Practice (MN); Part B Supplier - Clinic/Group Practice (NE); Part B Supplier - Clinic/Group Practice (SD) |
|---|
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