Active NPI
Guishu Fang, CRNA
- Certified Registered Nurse Anesthetist
- Easton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN327139L
- Practice address
- 250 S 21St St
Easton, PA 18042-3851 - Phone
- (610) 250-4303
- Fax
- (610) 250-4804
- NPI assigned
- Jun 9, 2005
- Last updated
- Jul 10, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN327139L | PA | Primary |
Addresses
Primary practice location
250 S 21St St
Easton, PA 18042-3851
Mailing address
PO Box 650782
Dallas, TX 75265-0782
Phone (302) 733-0806
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102305810 | Medicaid | PA | |
| 444601-1 | Other | NY | REGISTERED PROFESSIONAL NURSE |
| 3739532000 | Other | PA | IBC |
| FA2091090 | Other | PA | HIGHMARK BLUE SHIELD |
| 072055 | Other | PA | AANA # |
| P00724820 | Other | PA | RAILROAD MEDICARE PTAN |
Other names 1
- Gui-Shu Fang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
330 Main St
Dickson City, PA 18519-1691
Phone (610) 402-6164
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN327139L | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Anesthesia Services, P. C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Easton, P C | Past | Accepting new patients |
Locations
1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200
2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
330 Main St
Scranton, PA 18519
Phone (570) 330-5000
Organizations & group practices 5
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.
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Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341878400000",
"number": "1043214984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650782",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650782",
"telephone_number": "302-733-0806",
"fax_number": "302-733-0854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 S 21ST ST",
"city": "EASTON",
"state": "PA",
"postal_code": "180423851",
"telephone_number": "610-250-4303",
"fax_number": "610-250-4804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANG",
"first_name": "GUISHU",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-09",
"last_updated": "2012-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN327139L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102305810",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED PROFESSIONAL NURSE",
"identifier": "444601-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "3739532000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "FA2091090",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANA #",
"identifier": "072055",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P00724820",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GUI-SHU",
"last_name": "FANG",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Easton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.