Four Rivers Anesthesia
Anesthesiology in Washington, MO. Organization (NPI-2).
NPI number1487980397
StatusActive
Last updated in NPPESOct 28, 2009
Details
- NPI
- 1487980397
- Entity type
- Organization (NPI-2)
- Legal business name
- Four Rivers Anesthesia
- Organization subpart
- No
- Enumeration date
- Oct 28, 2009
- Last updated
- Oct 28, 2009
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 | R8N11 | MO | Yes |
Practice location
1111 E 6th StWashington, MO 63090-3308
Phone 636-239-1766
Mailing address
1 East LnUnion, MO 63084-1772
Phone 636-239-1766
Authorized official
Peter G Wienke
President
6362391766
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