Michael Anno, DO

Individual provider Active NPI Anesthesiology Physician · Owensboro, KY

NPI 1700970928 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1700970928
Entity type
Individual (NPI type 1)
Primary specialty
Anesthesiology Physician 207L00000X
License
02774 (TN)
Practice address
1000 Breckerridge CT. Suite 100
Owensboro, KY 42303
Phone
(270) 683-2751
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
976TNMDOptometrist
02774TNMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Care Enterprises, LLC Anesthesiology Past Accepting new patients
Anesthesiologists Associated PC Past Accepting new patients
Anesthesia Services of Middle Tennessee, PLLC Anesthesiology Past
since Sep 1, 2005
Accepting new patients
Owensboro Health, Inc Past Accepting new patients
Specialists in Pain Management, PLLC Dba Spine & Pain Associates Past Accepting new patients
Anesthesiologists Associated PC Anesthesiology Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 02774 TN Yes

Addresses

Primary practice location

1000 Breckerridge CT. Suite 100
Owensboro, KY 42303

Mailing address

PO Box 822337
Philadelphia, PA 19182-2337
Phone (866) 226-9156

Other identifiers

IdentifierTypeStateIssuer
64059249MedicaidKY

Other providers in Owensboro, KY

All providers in Owensboro, KY · Anesthesiology Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.