NPIMap

Organization Active NPI

Mercy Management of SE PA

  • Certified Registered Nurse Anesthetist
  • Darby, PA
National Provider Identifier
1346285376
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
MERCY MANAGEMENT OF SE PA
Practice address
1500 Lansdowne Avenue
Darby, PA 19023
Phone
(610) 237-4000
NPI assigned
Jun 16, 2006
Organization subpart
Yes
Parent organization
MERCY MANAGEMENT OF SE PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Gina R Cameron
Title
Delegated Official
Phone
(610) 237-4280

Specialties & licenses 1

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

Addresses

Primary practice location

1500 Lansdowne Avenue
Darby, PA 19023

Mailing address

PO Box 827675
Philadelphia, PA 19182-7675
Phone (856) 423-7700

Other identifiers 2

IdentifierTypeStateIssuer
1007787930164MedicaidPA
DB6047OtherRAILROAD MEDICARE GROUP

Other names 1

  • Mercy Fitzgerald CRNA Services Doing business as

National Provider Directory

National Provider Directory
Part of
Academic Emergency Serv

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1346285376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827675",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191827675",
            "telephone_number": "856-423-7700",
            "fax_number": "856-423-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LANSDOWNE AVENUE",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "19023",
            "telephone_number": "610-237-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MANAGEMENT OF SE PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY MANAGEMENT OF SE PA",
        "enumeration_date": "2006-06-16",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "610-237-4280"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007787930164",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DB6047",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Fitzgerald CRNA Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.