Individual provider Active NPI

Theresa A Arvesen, MD

  • Anesthesiology Physician
  • Coudersport, PA
National Provider Identifier
1154546067
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101244918 Issued in VA
Practice address
1001 E 2ND St
Coudersport, PA 16915-8161
Phone
(814) 274-9300
NPI assigned
Apr 16, 2007
Last updated
Apr 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 01062546A IN
Pain Medicine (Anesthesiology) Physician 207LP2900X 200601601 NC
Pain Medicine (Anesthesiology) Physician 207LP2900X D68642 MD
Pain Medicine (Anesthesiology) Physician 207LP2900X MD439613 PA
Anesthesiology Physician 207L00000X 0101244918 VA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 38140 IA
Pain Medicine (Anesthesiology) Physician 207LP2900X 0101244918 VA

Addresses

Primary practice location

1001 E 2ND St
Coudersport, PA 16915-8161

Mailing address

1001 E 2ND St
Coudersport, PA 16915-8161
Phone (814) 274-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA, MD, DC4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20071106000389 NC Practitioner - Anesthesiology 2365539400
I20090706000416 VA Practitioner - AnesthesiologyPractitioner - Pain Management 2365539400 Reassigns benefits to 4 organizations
I20110907000954 MD Practitioner - AnesthesiologyPractitioner - Pain Management 2365539400 Reassigns benefits to 2 organizations
I20120523000059 DC Practitioner - AnesthesiologyPractitioner - Pain Management 2365539400 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38140IAMDPain Medicine (Anesthesiology) Physician
01062546AINMDPain Medicine (Anesthesiology) Physician
D68642MDMDPain Medicine (Anesthesiology) Physician
200601601NCMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Virginia, PC Anesthesiology CurrentSince Jun 24, 2021 Accepting new patients
North American Partners in Anesthesia Maryland LLC Anesthesiology CurrentSince Dec 1, 2018 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 18, 2025 Accepting new patients
Premier Anesthesia of Virginia LLC Anesthesiology CurrentSince Sep 13, 2024 Accepting new patients
American Anesthesiology of Virginia PC Anesthesiology CurrentSince Jun 24, 2021 Accepting new patients
Professional Anesthesia Group, LLC Anesthesiology CurrentSince Jun 1, 2015 Accepting new patients
Ambulatory Anesthesia Associates LLC Anesthesiology CurrentSince Jul 5, 2016 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 18, 2025 Accepting new patients
Anesthesia Care of Bloomington PC Anesthesiology Past Accepting new patients
Southeast Pain Management Services, PLLC Pain Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Monroe Physicians Group Past Accepting new patients
Josephson-Wallack-Munshower Neurology PC PastSince May 11, 2025 Accepting new patients
Inderjit Singh MD PC PastSince Nov 17, 2017 Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3401 Georgia Ave NW
Washington, DC 20010
Phone (202) 829-5437

6430 Rockledge Dr
Ste 160
Bethesda, MD 20817
Phone (301) 312-6144

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

12200 Annapolis Rd
Ste 220
Glenn Dale, MD 20769
Phone (301) 699-2296

1110 Professional Ct
Hagerstown, MD 21740
Phone (240) 420-5559

1302 Rising Ridge Rd
Ste 1
Mount Airy, MD 21771

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

6355 Walker Ln
Ste 200
Alexandria, VA 22310
Phone (703) 922-9501

501 Sunset Ln
Culpeper, VA 22701
Phone (540) 829-4100

3554 Chain Bridge Rd
Ste 302
Fairfax, VA 22030
Phone (703) 273-6635

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

1500 Dixon St
Ste 101
Fredericksburg, VA 22401
Phone (540) 371-5349

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

9321 Sanger St
#200
Lorton, VA 22079
Phone (703) 300-8428

1501 Maple Ave
Ste 300
Richmond, VA 23226
Phone (804) 287-7878

100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826

400 Sentara Cir
#200
Williamsburg, VA 23188
Phone (678) 690-7816

525 Amherst St
Winchester, VA 22601
Phone (336) 420-7472

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1753

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1154546067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E 2ND ST",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169158161",
            "telephone_number": "814-274-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E 2ND ST",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169158161",
            "telephone_number": "814-274-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARVESEN",
        "first_name": "THERESA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "01062546A",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "200601601",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "D68642",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD439613",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101244918",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IA",
            "license": "38140",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "VA",
            "license": "0101244918",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coudersport, PA

Sources for this page

Verify at the official NPI Registry.