Organization Active NPI

Penn Anesthesia Services, PC-Crna

  • Certified Registered Nurse Anesthetist
  • Lewistown, PA
National Provider Identifier
1194753707
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1007298600009MedicaidPA
01732624MedicaidPA

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.