Active NPI
Theresa A Arvesen, MD
- Anesthesiology Physician
- Coudersport, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0101244918
- Practice address
- 1001 E 2ND St
Coudersport, PA 16915-8161 - Phone
- (814) 274-9300
- NPI assigned
- Apr 16, 2007
- Last updated
- Apr 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38140 | IA | MD | Pain Medicine (Anesthesiology) Physician |
| 01062546A | IN | MD | Pain Medicine (Anesthesiology) Physician |
| D68642 | MD | MD | Pain Medicine (Anesthesiology) Physician |
| 200601601 | NC | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Virginia, PC | Anesthesiology | Current | Accepting new patients |
| North American Partners in Anesthesia Maryland LLC | Anesthesiology | Current | Accepting new patients |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Premier Anesthesia of Virginia LLC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of Virginia PC | Anesthesiology | Current | Accepting new patients |
| Professional Anesthesia Group, LLC | Anesthesiology | Current | Accepting new patients |
| Ambulatory Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
| Medstar Medical Group II LLC | Current | 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 | Past | Accepting new patients | |
| Inderjit Singh MD PC | Past | 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
- 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.
-
- Anesthesiology Physician
- Prince Frederick, MD
- NPI 1093707879
DC
-
- Anesthesiology Physician
- Woodbridge, VA
- NPI 1255986147
-
- Anesthesiology Physician
- Fredericksburg, VA
- NPI 1619149648
-
dba Anesthesia Connections
- Anesthesiology Physician
- Midlothian, VA
- NPI 1922337930
DC, MD
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Hospitalist Physician
- Washington, DC
- NPI 1770198301
-
- Anesthesiology Physician
- Bloomington, IN
- NPI 1093990541
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Urology Physician
- Woodbridge, VA
- NPI 1801812847
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.