Lehigh Valley Hospital - Schuylkill

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

421001 Issued in PA

Legal business name

LEHIGH VALLEY HOSPITAL - SCHUYLKILL

Doing business as

Schuylkill Medical Center - South Jackson Street CRNA Group

Practice address

420 S Jackson St
Pottsville, PA 17901-3625

Phone

(570) 621-5000

Fax

(570) 622-8221

NPI assigned

Aug 10, 2005

Last updated

Jun 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Marchozzi

Title

Evp &Cfo

Phone

(484) 862-3943

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Schuylkill Medical Center - South Jackson Street CRNA Group Doing business as

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1184625360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S JACKSON ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013625",
            "telephone_number": "570-621-5000",
            "fax_number": "570-622-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S JACKSON ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013625",
            "telephone_number": "570-621-5000",
            "fax_number": "570-622-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH VALLEY HOSPITAL - SCHUYLKILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "MARCHOZZI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "EVP &CFO",
        "authorized_official_telephone_number": "484-862-3943"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "421001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD - ANESTHESIA",
            "identifier": "1373786",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schuylkill Medical Center - South Jackson Street CRNA Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Schuylkill Medical Center - South Jackson Street CRNA Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna M. Laychock, MD
• Paula Michelle Lazarski, RN
• Dianna Deborah Lazur, D.O.
• Lebanon Vamc
• Jangwoo Lee, MD
• Lehigh Valley Hospital - Schuylkill (Lehigh Valley Hospital Schuylkill S Jackson Street)
• Lehigh Valley Hospital - Schuylkill (Lehigh Valley Pharmacy Services)
• Lehigh Valley Hospital - Schuylkill
• Lehigh Valley Hospital Schuylkill
• Lehigh Valley Hospital Schuylkill

• Certified Registered Nurse Anesthetist in Pottsville, PA
• Providers in Pottsville, 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 Jun 27, 2019; 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.