Ada Spisak, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN250322L Issued in PA

Practice address

325 S Belmont St
York, PA 17403-2608

Phone

(717) 843-8623

NPI assigned

Feb 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DGCHDD

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.

• Jackson Siegelbaum Gastroenterology LTD

  • Gastroenterology Physician
  • Camp Hill, PA
  • NPI 1902866205
  NPD (past)
• Bluegrass Anesthesia Services, PSC

  • Anesthesiology Physician
  • Frankfort, KY
  • NPI 1548355100

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Kentucky Anesthesia Group, PSC

  • Anesthesiology Physician
  • Georgetown, KY
  • NPI 1073608634

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Obstetric Anesthesia Consultants PSC

  • Anesthesiology Physician
  • Louisville, KY
  • NPI 1194775239

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1073587333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332921",
            "telephone_number": "703-295-9360",
            "fax_number": "703-766-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S BELMONT ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032608",
            "telephone_number": "717-843-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPISAK",
        "first_name": "ADA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "1349A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN250322L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CUMBERLAND HEALTHCARE INC",
            "identifier": "C20882",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR",
            "identifier": "P00294276",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01312473",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74013491",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "030670000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER #",
            "identifier": "000000378010",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOVITAS MEDICARE",
            "identifier": "214953VKC",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Speechtastic Therapies (Elizabeth Rost)
• Deasia Spence
• Shelley Spencer, PHDHP
• Spiritrust Lutheran (SpiriTrust Lutheran The Village at Kelly Drive)
• Spiritrust Lutheran (SpiriTrust Lutheran The Village at Sprenkle Drive)
• Amy L R Spotts, O.D.
• Springettsbury Township
• Springwood Dental Associates
• Mohit None Srivastava, M.D.
• James W Srour, M.D.

• Certified Registered Nurse Anesthetist in York, PA
• Providers in York, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.