Individual provider Active NPI

Michael Thomas Souhrada

  • Certified Registered Nurse Anesthetist
  • Ephrata, PA
National Provider Identifier
1205299591
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN599881 Issued in PA
Practice address
169 Martin Ave
Ephrata, PA 17522
Phone
(717) 738-6618
Fax
(717) 738-6646
NPI assigned
Apr 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN599881 PA
Certified Registered Nurse Anesthetist 367500000X RN599881 PA Primary

Addresses

Primary practice location

169 Martin Ave
Ephrata, PA 17522

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

4150 Barrett Blvd # 100
Ephrata, PA 17522-8979
Phone (717) 859-5160

Other practice location 2

1001 S George St
York, PA 17403-3676
Phone (717) 812-7687

Other practice location 3

55 Monument Rd
York, PA 17403-5023
Phone (717) 812-6425

Other practice location 4

252 S 4th St
Lebanon, PA 17042-6111
Phone (717) 270-7500

Other practice location 5

835 5th Aveunue
Chambersburg, PA 17201-4220
Phone (717) 217-4312

Other practice location 6

501 E Main St
Waynesboro, PA 17268-2353
Phone (717) 765-3425

Other practice location 7

35 Erick Rd
Lancaster, PA 17601-3111
Phone (717) 690-0811

Other practice location 8

25 Monument Rd Ste 270
York, PA 17403-5073
Phone (717) 741-8250

Other practice location 9

112 N 7th St
Chambersburg, PA 17201-1720
Phone (717) 267-7164

Other practice location 10

12 St Paul Dr Ste 100
Chambersburg, PA 17201-1035
Phone (717) 217-6072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160928000016 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002103512 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians
Orthopedic Assoc of Lancaster LTDGroup PAC ID 8527041987, 81 clinicians
Lancaster Orthopedic Group, Inc.Group PAC ID 1557264678, 76 clinicians

Practice addresses (Care Compare)

1001 S George St
York, PA 17403-3676

1001 S George St 2ND Floor
Wellspan Pulmonary and Sleep Medicine
York, PA 17403-3676
Phone (717) 851-2465

169 Martin Ave
Ephrata, PA 17522-1724
Phone (717) 733-0311

170 N Pointe Blvd
Lancaster, PA 17601-4132
Phone (717) 299-4871

231 Granite Run Dr
Lancaster, PA 17601-6823
Phone (717) 560-4200

25 Monument Rd
York, PA 17403-5073

2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214

914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ephrata Community Hospital Nurse Anesthetist, Certified Registered CurrentSince May 6, 2019 Accepting new patients
Wellspan Medical Group CurrentSince Jan 30, 2022 Accepting new patients
Orthopedic Assoc of Lancaster LTD CurrentSince Aug 3, 2023 Accepting new patients
Orthopedic Assoc of Lancaster LTD Nurse Anesthetist, Certified Registered CurrentSince Aug 3, 2023 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Jan 30, 2022 Accepting new patients
Lancaster Orthopedic Group, Inc. CurrentSince Nov 25, 2024 Accepting new patients
Ephrata Community Hospital CurrentSince May 6, 2019 Accepting new patients

Locations

112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300

835 5th Ave
Chambersburg, PA 17201
Phone (717) 217-4312

12 St Paul Dr
Ste 100
Chambersburg, PA 17201
Phone (717) 217-6072

4150 Barrett Blvd
#100
Ephrata, PA 17522
Phone (717) 859-5160

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

170 N Pointe Blvd
Lancaster, PA 17601

35 Erick Rd
Lancaster, PA 17601
Phone (717) 690-0785

231 Granite Run Dr
Lancaster, PA 17601
Phone (717) 560-4200

252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500

1701 Cornwall Rd
Ste 200
Lebanon, PA 17042

1009 E Main St
Mount Joy, PA 17552
Phone (717) 544-3537

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

55 Monument Rd
York, PA 17403
Phone (717) 741-5257

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

1001 S George St
York, PA 17403
Phone (717) 812-7687

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Organizations & group practices 8

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1205299591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MARTIN AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "17522",
            "telephone_number": "717-738-6618",
            "fax_number": "717-738-6646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 Barrett Blvd # 100",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175228979",
            "country_code": "US",
            "telephone_number": "717-859-5160",
            "fax_number": "717-798-3935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033676",
            "country_code": "US",
            "telephone_number": "717-812-7687",
            "fax_number": "717-851-5250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Monument Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035023",
            "country_code": "US",
            "telephone_number": "717-812-6425",
            "fax_number": "717-851-5250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "252 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170426111",
            "country_code": "US",
            "telephone_number": "717-270-7500",
            "fax_number": "717-228-1642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "835 5th Aveunue",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172014220",
            "country_code": "US",
            "telephone_number": "717-217-4312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682353",
            "country_code": "US",
            "telephone_number": "717-765-3425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Erick Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176013111",
            "country_code": "US",
            "telephone_number": "717-690-0811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Monument Rd Ste 270",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035073",
            "country_code": "US",
            "telephone_number": "717-741-8250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011720",
            "country_code": "US",
            "telephone_number": "717-267-7164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 St Paul Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011035",
            "country_code": "US",
            "telephone_number": "717-217-6072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUHRADA",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN599881",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN599881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.