NPIMap

Organization Active NPI

Punxsutawney Medical Services, Inc

  • Anesthesiology Physician
  • Punxsutawney, PA
National Provider Identifier
1255849683
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PUNXSUTAWNEY MEDICAL SERVICES, INC
Practice address
81 Hillcrest Dr
Punxsutawney Anesthesia Service
Punxsutawney, PA 15767-2605
Phone
(814) 938-1886
Fax
(814) 938-1885
NPI assigned
Jan 19, 2018
Organization subpart
Yes
Parent organization
PUNXSUTAWNEY MEDICAL SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Authorized official

Name
Cheryl L Graham
Title
Director of Reimbursement
Phone
(814) 938-1886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

81 Hillcrest Dr
Punxsutawney Anesthesia Service
Punxsutawney, PA 15767-2605

Mailing address

81 Hillcrest Dr
Punxsutawney, PA 15767-2605
Phone (814) 938-1886

Other names 1

  • Punxsutawney Anesthesia Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040209000720 PA Part B Supplier - Clinic/Group Practice 2961396346 Receives reassigned benefits from 70 practitioners
Practice locations: Punxsutawney, PA; Indiana, PA

National Provider Directory

National Provider Directory
Tax ID family
Punxsutawney Medical Services - Anesthesia9 organizations share this tax ID, including this one
Part of
Punxsutawney Medical Services - Anesthesia

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 77

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 77

NPI Registry JSON

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1255849683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 HILLCREST DR",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672605",
            "telephone_number": "814-938-1886",
            "fax_number": "814-938-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HILLCREST DR",
            "address_2": "PUNXSUTAWNEY ANESTHESIA SERVICE",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672605",
            "telephone_number": "814-938-1886",
            "fax_number": "814-938-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUNXSUTAWNEY MEDICAL SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PUNXSUTAWNEY MEDICAL SERVICES, INC",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "814-938-1886"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Punxsutawney Anesthesia Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Punxsutawney, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.