Active NPI
Michael Francis Shulo, CRNA, MSA
- Certified Registered Nurse Anesthetist
- Allentown, PA
National Provider Identifier
1275588378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN232839L
- Practice address
- 5100 W Tilghman St Ste 315
Allentown, PA 18104-9166 - Phone
- (610) 395-4044
- Fax
- (610) 395-5693
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN232839L | PA | |
| Specialist | 174400000X | AANA#034631 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | RN232839L | 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 identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50077442 | Other | PA | CAPITAL BLUE CROSS, KEYSTONE CENTRAL, SENIOR BLUE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AANA#034631 | PA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Gastroenterology Associates of Lancaster, LTD. | Past | Accepting new patients | |
| Ephrata Community Hospital | Past | Accepting new patients | |
| Clinical Pain Management Associates, PC | Past | Accepting new patients | |
| Mount Nittany Medical Center | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Westwyo Services LP | Past | Accepting new patients |
Organizations & group practices 5
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
-
- Psychiatry Physician
- Ephrata, PA
- NPI 1366589566
-
- Anesthesiology Physician
- State College, PA
- NPI 1528321015
Nurse Anesthetist, Certified Registered
-
dba Digestive Disease Associates, LTD
- Gastroenterology Physician
- Lancaster, PA
- NPI 1154422806
-
- Anesthesiology Physician
- Wyomissing, PA
- NPI 1881829422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1275588378",
"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": [],
"basic": {
"last_name": "SHULO",
"first_name": "MICHAEL",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"credential": "CRNA, MSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN232839L",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "AANA#034631",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN232839L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS, KEYSTONE CENTRAL, SENIOR BLUE",
"identifier": "50077442",
"state": "PA"
}
],
"endpoints": [],
"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 Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.