Individual provider Active NPI

Marco A Gidaro, MD

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
National Provider Identifier
1033166855
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN522444L Issued in PA
Practice address
101 E Olney Ave
Suite 400
Philadelphia, PA 19120-2421
Phone
(215) 456-7000
Fax
(215) 254-2599
NPI assigned
May 27, 2006
Last updated
May 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN522444L PA Primary

Addresses

Primary practice location

101 E Olney Ave
Suite 400
Philadelphia, PA 19120-2421

Mailing address

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone (215) 456-7977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040315000673 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294624490 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Society Hill Anesthesia Consultants PCGroup PAC ID 5991617292, 210 clinicians
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

333 Cottman Ave
Philadelphia, PA 19111-2434
Phone (215) 728-6900

5501 Old York Rd Patient Tower
Suite 3
Philadelphia, PA 19141-3092
Phone (215) 456-6850

800 Spruce St
Philadelphia, PA 19107-6130
Phone (215) 829-5664

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
RN522444LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
RLM Anesthesia Consultants PLLC CurrentSince Jan 12, 2023 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Anthracite Anesthesia Consultants, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2024 Accepting new patients
Einstein Practice Plan Inc CurrentSince Nov 1, 2003 Accepting new patients
Society Hill Anesthesia Consultants, PC CurrentSince Jul 15, 2016 Accepting new patients
Einstein Practice Plan Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2003 Accepting new patients
Rgal Anesthesia Services LLC CurrentSince Jun 15, 2024 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
University of Penn-Medical Group CurrentSince Jul 8, 2024 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 8, 2024 Accepting new patients
Eastern Pennsylvania Crna Services Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

95 Highland Ave
Ste 100
Bethlehem, PA 18017
Phone (610) 868-8600

61 Industrial Dr
Hamburg, PA 19526
Phone (570) 617-7024

10 Park Pl
Hazle Township, PA 18202
Phone (570) 454-1400

1060 N Church St
Hazle Township, PA 18202
Phone (570) 459-9927

1062 N Church St
Hazle Township, PA 18202
Phone (570) 459-5102

490 Northampton St
Kingston, PA 18704
Phone (570) 288-8100

2104 Harrisburg Pike
Ste 300
Lancaster, PA 17601
Phone (717) 544-3400

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

790 Newtown Yardley Rd
Ste 415
Newtown, PA 18940
Phone (215) 579-2004

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

1200 Constitution Ave
Philadelphia, PA 19112
Phone (215) 755-2340

2000 Grant Ave
Philadelphia, PA 19115
Phone (215) 992-6000

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

700 Cottman Ave
Ste 201
Philadelphia, PA 19111
Phone (215) 742-8123

20 N Sunnybrook Rd
Ste 2
Pottstown, PA 19464
Phone (484) 374-2600

201 E Laurel Blvd
Pottsville, PA 17901
Phone (570) 328-4444

48 Tunnel Rd
Ste 103
Pottsville, PA 17901
Phone (570) 622-6520

575 E Norwegian St
Pottsville, PA 17901
Phone (570) 622-1200

817 Lawn Ave
Bldg B
Sellersville, PA 18960
Phone (215) 453-3050

37 Medical Crossing Rd
Tamaqua, PA 18252
Phone (215) 928-3180

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

1300 Broadcasting Rd
Wyomissing, PA 19610
Phone (570) 328-4444

Organizations & group practices 11

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1033166855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413018",
            "telephone_number": "215-456-7977",
            "fax_number": "215-254-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E OLNEY AVE",
            "address_2": "SUITE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202421",
            "telephone_number": "215-456-7000",
            "fax_number": "215-254-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDARO",
        "first_name": "MARCO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN522444L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.