Active NPI
Donald H. Jarvis, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Wyomissing, PA
National Provider Identifier
1235275355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN193247L
- Practice address
- 1280 Broadcasting Rd
Wyomissing, PA 19610-3203 - Phone
- (610) 736-9909
- NPI assigned
- Jan 29, 2007
- 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 | RN193247L | PA | Primary |
Addresses
Primary practice location
1280 Broadcasting Rd
Wyomissing, PA 19610-3203
Mailing address
1122 Street Rd
Ste 204
Southampton, PA 18966-4218
Phone (215) 949-3100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50077441 | Other | PA | CAPITAL BLUE CROSS, KEYSTONE CENTRAL, SENIOR BLUE |
| P00358889 | Other | PA | RAILROAD MEDICARE |
| 22-1994560 | Other | PA | HEALTH NET TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Pain Management Associates, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pain Medicine Physician
- Fairless Hills, PA
- NPI 1265488308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1235275355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 STREET RD",
"address_2": "STE 204",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189664218",
"telephone_number": "215-949-3100",
"fax_number": "215-355-6304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 BROADCASTING RD",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196103203",
"telephone_number": "610-736-9909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "DONALD",
"middle_name": "H.",
"name_prefix": "Mr.",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN193247L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS, KEYSTONE CENTRAL, SENIOR BLUE",
"identifier": "50077441",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00358889",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET TRICARE",
"identifier": "22-1994560",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.