Active NPI
John G Shertz Jr., CRNA
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN268871L
- Practice address
- 2301 S Broad St
Philadelphia, PA 19148-3542 - Phone
- (215) 952-9323
- Fax
- (215) 952-1496
- NPI assigned
- Dec 20, 2005
- 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 | RN268871L | PA | Primary |
Addresses
Primary practice location
2301 S Broad St
Philadelphia, PA 19148-3542
Mailing address
PO Box 8500 2345
Philadelphia, PA 19178-0001
Phone (717) 263-5562
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014075630011 | Medicaid | PA |
Other names 1
- Jay Shertz
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, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2112 Harrisburg Pike
Suite 202
Lancaster, PA 17601-2644
Phone (717) 869-4600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN268871L | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rgal Anesthesia Services LLC | Current | Accepting new patients | |
| Anesthesia Specialists of Bethlehem, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Specialists of Warren, LLC | Past | Accepting new patients | |
| Northeastern Anesthesia Physicians P.C. | Past | Accepting new patients | |
| Associates in Anesthesia, Inc. | Past | Accepting new patients | |
| Tri County Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Associates in Anesthesia | Past | Accepting new patients | |
| North Penn Anesthesiology Associates, Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300
1 W Broad St
Ste 506
Bethlehem, PA 18018
Phone 6109545810 ext. 3
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
2104 Harrisburg Pike
Ste 300
Lancaster, PA 17601
Phone (717) 544-3400
2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/
Organizations & group practices 8
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
- Lancaster, PA
- NPI 1699055251
-
- Anesthesiology Physician
- Bethlehem, PA
- NPI 1851349302
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Chadds Ford, PA
- NPI 1336470467
-
- Anesthesiology Physician
- Chadds Ford, PA
- NPI 1942281191
-
- Anesthesiology Physician
- Lansdale, PA
- NPI 1255399689
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Allentown, PA
- NPI 1275594830
-
- Anesthesiology Physician
- Huntingdon Valley, PA
- NPI 1073571485
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Phillipsburg, NJ
- NPI 1104354422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193097600000",
"number": "1063498269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8500 2345",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191780001",
"telephone_number": "717-263-5562",
"fax_number": "717-263-1566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 S BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191483542",
"telephone_number": "215-952-9323",
"fax_number": "215-952-1496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERTZ",
"first_name": "JOHN",
"middle_name": "G",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2007-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN268871L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014075630011",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAY",
"last_name": "SHERTZ",
"code": "5",
"type": "Other Name"
}
]
}
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 Oct 23, 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.