NPIMap

Organization Active NPI

Elk Regional Health Center

Doing business as Penn Highlands Elk Anesthesia Services

  • Anesthesiology Physician
  • Saint Marys, PA
National Provider Identifier
1326427196
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ELK REGIONAL HEALTH CENTER
Doing business as
Penn Highlands Elk Anesthesia Services
Practice address
763 Johnsonburg Rd
Saint Marys, PA 15857-3417
Phone
(800) 446-5090
Fax
(814) 339-6165
NPI assigned
May 26, 2015
Last updated
Jun 10, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ELK REGIONAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Authorized official

Name
Bradley Joseph Chapman
Title
Pres/Auth Official
Phone
(814) 788-8550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

763 Johnsonburg Rd
Saint Marys, PA 15857-3417

Mailing address

763 Johnsonburg Rd
Saint Marys, PA 15857-3417
Phone (814) 375-4200

Other identifiers 2

IdentifierTypeStateIssuer
419584OtherPAMC PTAN
100729260MedicaidPA

Other names 1

  • Penn Highlands Elk Anesthesia Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150708002883 PA Part B Supplier - Hospital Department(S) 7517870512 Receives reassigned benefits from 56 practitioners
Practice locations: St Marys, PA

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Anesthesiology Andrew K9 organizations share this tax ID, including this one
Part of
Anesthesiology Andrew K

Other organizations with this tax ID 8

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

Locations

763 Johnsonburg Rd
#A
Saint Marys, PA 15857
Phone (800) 446-5090

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Penn Highlands Community NursesSaint Marys, PA, CCN 397028 Home health agency Operational/Managerial Control Jul 1, 2013
Penn Highlands Community NursesClearfield, PA, CCN 397091 Home health agency Operational/Managerial Control Jul 1, 2013
Penn Highlands Community NursesSaint Marys, PA, CCN 391562 Hospice Operational/Managerial Control Jul 1, 2013
Penn Highlands Community NursesClearfield, PA, CCN 391542 Hospice Operational/Managerial Control Jun 1, 2017

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 57

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1326427196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 JOHNSONBURG RD",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573417",
            "telephone_number": "814-375-4200",
            "fax_number": "814-375-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 JOHNSONBURG RD",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573417",
            "telephone_number": "800-446-5090",
            "fax_number": "814-339-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK REGIONAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELK REGIONAL HEALTH CENTER",
        "enumeration_date": "2015-05-26",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRES/AUTH OFFICIAL",
        "authorized_official_telephone_number": "814-788-8550"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC PTAN",
            "identifier": "419584",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100729260",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Highlands Elk Anesthesia Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Penn Highlands Elk Anesthesia Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Marys, PA

Sources for this page

Verify at the official NPI Registry.