Individual provider Active NPI

Andrea Malcolm, CRNA

  • Certified Registered Nurse Anesthetist
  • Allentown, PA
National Provider Identifier
1285668368
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN562502 Issued in PA
Practice address
5000 W Tilghman St
Suite 240
Allentown, PA 18104-9150
Phone
(610) 395-4044
Fax
(610) 395-5693
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN562502 PA Primary

Addresses

Primary practice location

5000 W Tilghman St
Suite 240
Allentown, PA 18104-9150

Mailing address

5000 Tilghman St
Suite 240
Allentown, PA 18104-9150
Phone (610) 395-4044

Other names 1

  • Andrea Thomas Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190730001827 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002819422 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lone Star Anesthesia Partners PLLCGroup PAC ID 4880072636, 58 clinicians

Practice addresses (Care Compare)

423 Treeline Park
Suite 202
San Antonio, TX 78209-2078
Phone (910) 949-6000

5106 W Loop 1604
San Antonio, TX 78251-4408
Phone (726) 243-2000

Hospital & facility affiliations

  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lavaca Hospital District CurrentSince Aug 8, 2023 Accepting new patients
Grasshopper Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2021 Accepting new patients
Lone Star Anesthesia Partners PLLC CurrentSince Oct 1, 2024 Accepting new patients
Frio Hospital Association CurrentSince Jul 7, 2019 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 Accepting new patients
Frio Hospital Association CurrentSince Jul 7, 2019 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Feb 10, 2024 Accepting new patients
Lehigh Anesthesia Associates, P.C. Past Accepting new patients
Anesthesia Associates of York PA Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1400 N Texana St
Hallettsville, TX 77964
Phone (361) 798-3671

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

703 E Marshall Ave
Ste 2000
Longview, TX 75601
Phone (903) 236-5300

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

811 S Washington Ave
Marshall, TX 75670
Phone (903) 315-1488

3610 N University Dr
Nacogdoches, TX 75965
Phone (936) 254-4703

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1285668368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 TILGHMAN ST",
            "address_2": "SUITE 240",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049150",
            "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": "5000 W TILGHMAN ST",
            "address_2": "SUITE 240",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049150",
            "telephone_number": "610-395-4044",
            "fax_number": "610-395-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOLM",
        "first_name": "ANDREA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN562502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "THOMAS",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.