Michigan Anesthesia Care One PC
Anesthesiology in Dallas, TX. Organization (NPI-2).
NPI number1386976090
StatusActive
Last updated in NPPESJun 18, 2020
Details
- NPI
- 1386976090
- Entity type
- Organization (NPI-2)
- Legal business name
- Michigan Anesthesia Care One PC
- Organization subpart
- No
- Enumeration date
- Feb 4, 2010
- Certification date
- Jun 18, 2020
- Last updated
- Jun 18, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
| 207LP2900X | Anesthesiology, Pain Medicine | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – | |
| 367500000X | Nurse Anesthetist, Certified Registered | – | – |
Practice location
13601 Preston Rd#1000w
Dallas, TX 75240-4911
Phone 972-715-5682 · Fax 972-715-5682
Mailing address
5565 Centerview Dr Ste 107Raleigh, NC 27606-3563
Authorized official
Kathy Kondas
Officer
9732511132
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