Active NPI
Penn Anesthesia Services, PC-Crna
- Certified Registered Nurse Anesthetist
- Lewistown, PA
National Provider Identifier
1194753707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- PENN ANESTHESIA SERVICES, PC-CRNA
- Practice address
- 400 Highland Ave
Lewistown Hospital
Lewistown, PA 17044-1167 - Phone
- (717) 248-5411
- NPI assigned
- Jun 30, 2006
- Last updated
- Apr 30, 2008
- 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
- Gurpreet Bhalla, MD
- Title
- President
- Phone
- (914) 666-8866
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NU | Primary |
Addresses
Primary practice location
400 Highland Ave
Lewistown Hospital
Lewistown, PA 17044-1167
Mailing address
43 Kensico Dr
2ND Floor
Mount Kisco, NY 10549-1009
Phone (914) 666-8866
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007298600009 | Medicaid | PA | |
| 01732624 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
18 N Main St
Lewistown, PA 17044
Phone (717) 242-1441
311 4th St
Lewistown, PA 17044
Phone (717) 242-7600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209513600000",
"number": "1194753707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 KENSICO DR",
"address_2": "2ND FLOOR",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105491009",
"telephone_number": "914-666-8866",
"fax_number": "914-666-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HIGHLAND AVE",
"address_2": "LEWISTOWN HOSPITAL",
"city": "LEWISTOWN",
"state": "PA",
"postal_code": "170441167",
"telephone_number": "717-248-5411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENN ANESTHESIA SERVICES, PC-CRNA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-30",
"last_updated": "2008-04-30",
"status": "A",
"authorized_official_last_name": "BHALLA",
"authorized_official_first_name": "GURPREET",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "914-666-8866",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007298600009",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01732624",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewistown, PA
- Autumn Lee Peck, PHARMD
- Ashley Anne Pecora, LCSW
- Peerstar Advocacy Alliance LLC
- Mackenzie Pegg, PA-C
- Penn Anesthesia Services, PC
- Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #01677)
- Sarah Elizabeth Pepperday, CRNP
- Sara Perrin, PA-C
- Lynsey Phillips, LSW
- Phoenix Rehabilitation and Health Services, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.