Active NPI
Gary A. Zack, CRNA
- Certified Registered Nurse Anesthetist
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN641144
- Practice address
- 1200 S Cedar Crest Blvd
Allentown, PA 18103-6202 - Phone
- (610) 402-8001
- Fax
- (610) 402-8240
- NPI assigned
- Jul 26, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN641144 | PA | Primary |
Addresses
Primary practice location
1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Mailing address
255 W Michigan Ave
Jackson, MI 49201-2218
Phone (517) 787-6440
Other practice location 1
801 Ostrum St
Bethlehem, PA 18015-1000
Phone (610) 954-5810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 S Cedar Crest Blvd
LVPG General in Patient Pediatrics
Allentown, PA 18103-6202
Phone (610) 402-6700
Hospital & facility affiliations
- Lehigh Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia, Pennsylvania , LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| College Heights Endoscopy Center LLC | Current | Accepting new patients | |
| Northeastern Anesthesia Physicians P.C. | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Gulfstream Anesthesia Consultants PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| College Heights Endoscopy Center, LLC | Current | Accepting new patients | |
| Lehigh Valley Anesthesia Services, P. C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Forty Fort Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Anesthesia Specialists of Bethlehem, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
255 W Michigan Ave
Jackson, MI 49201
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
3147 College Heights Blvd
Allentown, PA 18104
Phone (610) 841-2432
24 S 18th St
Allentown, PA 18104
Phone (610) 628-8372
1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200
1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300
701 E 16th St
Berwick, PA 18603
Phone (570) 754-5000
2310 Highland Ave
Bethlehem, PA 18020
Phone (610) 691-4300
206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
190 Welles St
Kingston, PA 18704
Phone (570) 283-0524
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227
1 Storm St
Stroudsburg, PA 18360
Phone (570) 421-4978
275 Guthrie Dr
Troy, PA 16947
Phone (570) 297-2121
Organizations & group practices 13
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.
-
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
-
- Anesthesiology Physician
- Bethlehem, PA
- NPI 1851349302
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Forty Fort, PA
- NPI 1346600038
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Troy, PA
- NPI 1992713242
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Allentown, PA
- NPI 1730174731
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Allentown, PA
- NPI 1275594830
-
- Anesthesiology Physician
- Melville, NY
- NPI 1639137854
Nurse Anesthetist, Certified Registered, PA
-
- Anesthesiology Physician
- Bethlehem, PA
- NPI 1972994820
-
- Ambulatory Surgical Clinic/Center
- Allentown, PA
- NPI 1780686808
-
- Ambulatory Surgical Clinic/Center
- Allentown, PA
- NPI 1578525515
-
- Family Medicine Physician
- Dunmore, PA
- NPI 1194448589
-
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1164400131
-
- Psychiatric Hospital Unit
- Bethlehem, PA
- NPI 1609834001
-
- Children's Hospital
- Allentown, PA
- NPI 1952954307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645747200000",
"number": "1336663871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012218",
"telephone_number": "517-787-6440",
"fax_number": "517-787-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S CEDAR CREST BLVD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036202",
"telephone_number": "610-402-8001",
"fax_number": "610-402-8240"
}
],
"practiceLocations": [
{
"address_1": "801 Ostrum St",
"address_purpose": "LOCATION",
"city": "Bethlehem",
"state": "PA",
"postal_code": "180151000",
"country_code": "US",
"telephone_number": "610-954-5810",
"fax_number": "610-954-5480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZACK",
"first_name": "GARY",
"middle_name": "A.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-26",
"last_updated": "2022-02-25",
"certification_date": "2022-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN641144",
"primary": true
}
],
"identifiers": [],
"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 25, 2022; 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.