Individual provider Active NPI

Seth Canner, CRNA

  • Certified Registered Nurse Anesthetist
  • State College, PA
National Provider Identifier
1033220959
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN512605L Issued in PA
Practice address
1800 E Park Ave
State College, PA 16803-6701
Phone
(814) 231-7000
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 RN512605L PA Primary

Addresses

Primary practice location

1800 E Park Ave
State College, PA 16803-6701

Mailing address

1530 Martin St
State College, PA 16803-3058
Phone (814) 235-3898

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061207000190 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0345249082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Remcare Anesthesia Solutions LLCGroup PAC ID 1052496833, 11 clinicians

Practice addresses (Care Compare)

3280 Pleasant Valley Blvd
Altoona, PA 16602-4310
Phone (814) 381-0009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN512605LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Remcare Anesthesia Solutions LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2012 Accepting new patients
State College Anesthesia Associates, P.C. Past Accepting new patients
Centre County Anesthesia, P.C. Past Accepting new patients

Locations

3280 Pleasant Valley Blvd
Altoona, PA 16602
Phone (814) 381-0009

5000 6th Ave
Ste 4
Altoona, PA 16602

176 Vision Dr
Duncansville, PA 16635
Phone (814) 949-1914

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033220959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 MARTIN ST",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033058",
            "telephone_number": "814-235-3898",
            "fax_number": "814-235-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E PARK AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036701",
            "telephone_number": "814-231-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNER",
        "first_name": "SETH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN512605L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.