Organization Active NPI

Northeast Regional Anesthesia LLC

  • Pain Medicine (Anesthesiology) Physician
  • Plains, PA
National Provider Identifier
1346240793
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
NORTHEAST REGIONAL ANESTHESIA LLC
Practice address
11 Gallagher Dr
Plains, PA 18705-1146
Phone
(570) 970-1030
Fax
(570) 270-0577
NPI assigned
Jul 28, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Barbara Kreel, MD
Title
Ceo/Owner
Phone
(570) 970-1030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X PA Primary

Addresses

Primary practice location

11 Gallagher Dr
Plains, PA 18705-1146

Mailing address

11 Gallagher Dr
Plains, PA 18705-1146
Phone (570) 970-1030

Other identifiers 2

IdentifierTypeStateIssuer
604765100OtherPADEPT OF LABOR
1659618OtherPABLUE SHIELD

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346240793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GALLAGHER DR",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051146",
            "telephone_number": "570-970-1030",
            "fax_number": "570-270-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 GALLAGHER DR",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051146",
            "telephone_number": "570-970-1030",
            "fax_number": "570-270-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST REGIONAL ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KREEL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "570-970-1030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "604765100",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1659618",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plains, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.