Active NPI
Theodore L Still, CRNA
- Certified Registered Nurse Anesthetist
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN262041L
- Practice address
- 5100 W Tilghman St Ste 315
Allentown, PA 18104-9166 - Phone
- (610) 395-4044
- Fax
- (610) 395-5693
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN262041L | PA | Primary |
Addresses
Primary practice location
5100 W Tilghman St Ste 315
Allentown, PA 18104-9166
Mailing address
PO Box 783497
Philadelphia, PA 19178-3497
Phone (610) 395-4044
Other practice location 1
111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 782-5182
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101812002 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tstill19219@phsdirect.pinnaclehealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
875 Norman Dr
Lebanon, PA 17042-7454
Phone (717) 275-2010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN262041L | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulfstream Anesthesia Consultants PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lehigh Anesthesia Associates, P.C. | Current | Accepting new patients | |
| Rgal Anesthesia Services LLC | Current | Accepting new patients | |
| Anesthesia Care Partners LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Upmc Pinnacle Anesthesia Services, LLC | Current | Accepting new patients | |
| George E. Fava MD PC | Current | Accepting new patients | |
| Northstar Anesthesia of Pennsylvania, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Upmc Pinnacle Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ephrata Community Hospital | Past | Accepting new patients | |
| Anesthesia Associates of Easton, P C | Past | Accepting new patients | |
| Lancaster Hma Physician Management, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Campus Oral & Maxillofacial Surgery, P.C. | Past | Accepting new patients | |
| Medical Anesthesia and Pain Management Consultants, P.a. | Past | Accepting new patients | |
| Memorial Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
5100 W Tilghman St
Ste 315
Allentown, PA 18104
Phone (610) 395-4044
1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000
701 E 16th St
Berwick, PA 18603
Phone (570) 754-5000
1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561
111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282
409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049
2104 Harrisburg Pike
Ste 300
Lancaster, PA 17601
Phone (717) 544-3400
2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500
875 Norman Dr
Lebanon, PA 17042
Phone (717) 272-2010
1500 Highlands Dr
Lititz, PA 17543
Phone (717) 625-5000
1075 Berkshire Blvd
Wyomissing, PA 19610
Phone (610) 374-4093
1880 Kenneth Rd
Ste 2
York, PA 17408
Phone (717) 767-2001
Organizations & group practices 14
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608336000000",
"number": "1225093024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 783497",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191783497",
"telephone_number": "610-395-4044",
"fax_number": "610-395-5693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 W TILGHMAN ST STE 315",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181049166",
"telephone_number": "610-395-4044",
"fax_number": "610-395-5693"
}
],
"practiceLocations": [
{
"address_1": "111 S Front St",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171012010",
"country_code": "US",
"telephone_number": "717-782-5182",
"fax_number": "717-782-5820",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STILL",
"first_name": "THEODORE",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2020-12-19",
"certification_date": "2020-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN262041L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101812002",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tstill19219@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"address_1": "111 S Front St",
"city": "Harrisburg",
"state": "PA",
"country_code": "US",
"postal_code": "171012010",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2020; 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.