Pennsylvania Hospital

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN616965 Issued in PA

Legal business name

PENNSYLVANIA HOSPITAL

Practice address

800 Spruce St
Philadelphia, PA 19107-6130

Phone

(706) 650-0705

NPI assigned

Sep 4, 2013

Organization subpart

No

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

Authorized official

Name

Denise M Nichols

Title

Provider Enrollment Specialist

Phone

(706) 650-0705

Specialties & licenses 2

Addresses

Tax ID family

Pennsylvania Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Society Hill Anesthesia Consultants

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
  • NPI 1295196293
  NPD tax ID

Practitioners 1

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

• David Imperatore

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
  • NPI 1144654021

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1275968638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 WESLEY AVE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023744",
            "telephone_number": "856-857-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076130",
            "telephone_number": "706-650-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "706-650-0705"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NO11347600",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN616965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pennsylvania Foot and Ankle Associates, P.C.
• Pennsylvania Home Care One
• Pennsylvania Home Health Services Limited Liability Company
• Pennsylvania Hope Home Health Care Agency, Inc
• Pennsylvania Hospital
• Pennsylvania Independent Home Healthcare, Inc.
• Pennsylvania Injury Center
• Pennsylvania Institute for Couple and Family Therapy
• Pennsylvania Internal Medicine & Geriatrics PC
• Pennsylvania Medical Professionals, PC

• Certified Registered Nurse Anesthetist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.