Individual provider Active NPI

Theodore L Still, CRNA

  • Certified Registered Nurse Anesthetist
  • Allentown, PA
National Provider Identifier
1225093024
Registry record updated Dec 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN262041L Issued in PA
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

Updated by the provider on Dec 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
101812002MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tstill19219@phsdirect.pinnaclehealth.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031229000543 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092613034 Reassigns benefits to 7 organizations

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
George E. Fava MD PCGroup PAC ID 7517942428, 7 clinicians

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

LicenseStateTypeSpecialty
RN262041LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulfstream Anesthesia Consultants PA Nurse Anesthetist, Certified Registered CurrentSince Nov 9, 2013 Accepting new patients
Lehigh Anesthesia Associates, P.C. CurrentSince Sep 8, 2015 Accepting new patients
Rgal Anesthesia Services LLC CurrentSince Oct 15, 2015 Accepting new patients
Anesthesia Care Partners LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2023 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC CurrentSince Apr 1, 2018 Accepting new patients
George E. Fava MD PC CurrentSince Dec 1, 2025 Accepting new patients
Northstar Anesthesia of Pennsylvania, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2018 Accepting new patients
Ephrata Community Hospital PastSince Nov 10, 2019 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. PastSince Apr 1, 2002 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.

View all 14

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.

Verify at the official NPI Registry.