Active NPI
Vincent Cleveland David
- Certified Registered Nurse Anesthetist
- Wilkes Barre, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 148206
- Practice address
- 575 N River St
Wilkes Barre, PA 18764-0999 - Phone
- (570) 829-8111
- NPI assigned
- Jul 11, 2024
- Sex
- Male
- 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 | 148206 | PA | Primary |
Addresses
Primary practice location
575 N River St
Wilkes Barre, PA 18764-0999
Mailing address
628 Prospect Ave Apt 3
Scranton, PA 18505-1842
Phone (917) 854-8125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
Enrollment records 2
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
Practice addresses (Care Compare)
111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 782-3282
1995 Technology Pkwy
Mechanicsburg, PA 17050-8522
Phone (717) 782-3282
Hospital & facility affiliations
- Upmc Pinnacle Hospitals
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148206 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fpa Hospital Based | Current | Accepting new patients | |
| Upmc Pinnacle Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Fpa Hospital Based | Current | Accepting new patients | |
| Upmc Pinnacle Anesthesia Services, LLC | Current | Accepting new patients | |
| 360 Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Fpa Hospital Based | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1176 5th Ave
New York, NY 10029
Phone (212) 241-6237
409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049
111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282
575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300
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.
-
- Anesthesiology Physician
- Harrisburg, PA
- NPI 1730693979
-
- Anesthesiology Physician
- Wilkes Barre, PA
- NPI 1811637366
Nurse Anesthetist, Certified Registered
-
- Nuclear Medicine Physician
- New York, NY
- NPI 1629319413
-
- Certified Registered Nurse Anesthetist
- Harrisburg, PA
- NPI 1942867064
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- New York, NY
- NPI 1710324041
Nurse Anesthetist, Certified Registered
-
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1063259570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 PROSPECT AVE APT 3",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185051842",
"telephone_number": "917-854-8125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 N RIVER ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187640999",
"telephone_number": "570-829-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "VINCENT",
"middle_name": "CLEVELAND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-11",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "148206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.