Tanis S Pendleton, MD,PHD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD429688 Issued in PA

Practice address

100 Hospital Rd
Brookville, PA 15825-1367

Phone

(814) 849-1876

NPI assigned

Oct 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brookville Anesthesia Services, PC

  • Anesthesiology Physician
  • Brookville, PA
  • NPI 1255465050
  Authorized official Same address or phone

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326136730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158251367",
            "telephone_number": "814-849-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158251367",
            "telephone_number": "814-849-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "TANIS",
        "middle_name": "S",
        "credential": "MD,PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD429688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08775798",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oncology Hematology Associates of Northern PA, PC
• Sorena Ann Ostlund, CRNA
• Kevin Paisley, M.D.
• Holly A Pangallo, COTA/L
• Dustin Parsons, LPC
• Timothy Paul Pendleton, MD
• Penn Highlands Home Medical Equipment LLC (SMP Home Medical Brookville)
• Penn Traffic Co (Bilo Foods and Pharmacy 9201)
• Phoenix Rehabilitation and Health Services, Inc.
• Bruce William Pierson, OD

• Anesthesiology Physician in Brookville, PA
• Providers in Brookville, PA by specialty
• Anesthesiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.