Organization Active NPI

Jeannette Anesthesia Group, PC

  • Anesthesiology Physician
  • Jeannette, PA
National Provider Identifier
1346240090
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
JEANNETTE ANESTHESIA GROUP, PC
Practice address
600 Jefferson Ave
Jeannette, PA 15644-2505
Phone
(724) 527-3551
Fax
(724) 527-6519
NPI assigned
Jul 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mandiga V. Rao, M.D.NPI 1649265588
Title
President
Phone
(724) 527-6517

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X PA Primary

Addresses

Primary practice location

600 Jefferson Ave
Jeannette, PA 15644-2505

Mailing address

PO Box 155
Grapeville, PA 15634-0155
Phone (724) 527-6517

Other identifiers 2

IdentifierTypeStateIssuer
G1430OtherRR/MED
0017544610002MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346240090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "GRAPEVILLE",
            "state": "PA",
            "postal_code": "156340155",
            "telephone_number": "724-527-6517",
            "fax_number": "724-527-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JEFFERSON AVE",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156442505",
            "telephone_number": "724-527-3551",
            "fax_number": "724-527-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNETTE ANESTHESIA GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "MANDIGA",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-527-6517",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR/MED",
            "identifier": "G1430",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017544610002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeannette, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.