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Arizona Medicaid lookup

One provider matched this Medicaid ID.

Arizona Medicaid ID 394875 resolves to a single NPI record. Open the full profile for complete detail.

Single match found
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CT
NPI · 1861487878 · Active
Charles Tadlock M.D.
Anesthesiology, Pain Medicine · Las Vegas, Nevada
Active
NPI
1861487878
Medicaid (AZ)
394875
Taxonomy
207LP2900X
State
Arizona

Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • EN880YNV· Issued by JULIE BROWN, FNP MEDICARE PIN
  • FB250ZNV· Issued by GERALD JONES MEDICARE NV

Medicaid

Source: NPPES public registry.

ReferenceAbout state Medicaid identifiers

State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.