Active NPI
Stephen Deturk, CRNA
- Certified Registered Nurse Anesthetist
- Allentown, PA
National Provider Identifier
1083696348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN200328L
- Practice address
- 1736 W Hamilton St
Allentown, PA 18104-5656 - Phone
- (610) 628-8372
- Fax
- (610) 628-8648
- NPI assigned
- Nov 14, 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 | RN200328L | PA | Primary |
Addresses
Primary practice location
1736 W Hamilton St
Allentown, PA 18104-5656
Mailing address
24 S 18TH St
Allentown, PA 18104-5622
Phone (610) 628-8372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050610000107 | PA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0345283321 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeastern Anesthesia Physicians P.C.
Practice addresses (Care Compare)
1736 Hamilton St
Allentown, PA 18104-5656
Phone (610) 770-8372
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Anesthesia Physicians P.C. | Current | Accepting new patients |
Locations
1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300
250 Cetronia Rd
Ste 300
Allentown, PA 18104
Phone (484) 223-2880
24 S 18th St
Allentown, PA 18104
Phone (610) 628-8372
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185494400000",
"number": "1083696348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 S 18TH ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181045622",
"telephone_number": "610-628-8372",
"fax_number": "610-628-8648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1736 W HAMILTON ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181045656",
"telephone_number": "610-628-8372",
"fax_number": "610-628-8648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DETURK",
"first_name": "STEPHEN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2007-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN200328L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.