Active NPI
Surgical Anesthesia of Gettysburg LLC
- Anesthesiology Physician
- Hanover, PA
National Provider Identifier
1073731436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- SURGICAL ANESTHESIA OF GETTYSBURG LLC
- Practice address
- 250 Fame Avenue
Suite 130
Hanover, PA 17331-1576 - Phone
- (866) 259-1462
- Fax
- (706) 650-1034
- NPI assigned
- Apr 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andrew R. Ribaudo
- Title
- President
- Phone
- (404) 446-1417
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X |
Addresses
Primary practice location
250 Fame Avenue
Suite 130
Hanover, PA 17331-1576
Mailing address
PO Box #8500 Lockbox #2652
Philadelphia, PA 19178-2652
Phone (866) 259-1462
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Hanover, PA
- NPI 1386661155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459814400000",
"number": "1073731436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX #8500 LOCKBOX #2652",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191782652",
"telephone_number": "866-259-1462",
"fax_number": "706-650-1034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 FAME AVENUE",
"address_2": "SUITE 130",
"city": "HANOVER",
"state": "PA",
"postal_code": "173311576",
"telephone_number": "866-259-1462",
"fax_number": "706-650-1034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL ANESTHESIA OF GETTYSBURG LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2016-04-05",
"status": "A",
"authorized_official_last_name": "RIBAUDO",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "404-446-1417",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hanover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.