Indiana Regional Medical Center

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

INDIANA REGIONAL MEDICAL CENTER

Practice address

835 Hospital Rd
Anesthesiology Department - Crna
Indiana, PA 15701-3629

Phone

(724) 357-7008

Fax

(724) 357-7414

NPI assigned

Aug 24, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Michael F Ickowski, CPA, MBA

Title

Chief Financial Officer

Phone

(724) 357-7008

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Donald George, P.A.

  • Medical Physician Assistant
  • Indiana, PA
  • NPI 1700217007
  NPD (past)
• Melanie G. Ludwig, CRNP

  • Family Nurse Practitioner
  • Blairsville, PA
  • NPI 1821290776
  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1265425359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 HOSPITAL RD",
            "address_2": "PO BOX 788",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013629",
            "telephone_number": "724-357-7008",
            "fax_number": "724-357-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 HOSPITAL RD",
            "address_2": "ANESTHESIOLOGY DEPARTMENT - CRNA",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013629",
            "telephone_number": "724-357-7008",
            "fax_number": "724-357-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "ICKOWSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "724-357-7008",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA, MBA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1925891",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Indiana Open MRI LLC
• Indiana Pediatric Associates, P C a
• Indiana Pediatric Associates, PC
• Indiana Pychology Associates, Inc.
• Indiana Regional Imaging, PC
• Indiana Regional Medical Center
• Indiana Regional Medical Center
• Indiana Regional Medical Center
• Indiana Regional Medical Center
• Indiana Regional Medical Center

• All providers in Indiana, PA
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.