NPIMap

Organization Active NPI

Pennsylvania Mobile Anesthesia Associates, LLC

  • Dental Anesthesiology
  • Slippery Rock, PA
National Provider Identifier
1356956023
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
Legal business name
PENNSYLVANIA MOBILE ANESTHESIA ASSOCIATES, LLC
Practice address
234 S Main St
Slippery Rock, PA 16057-1247
Phone
(724) 794-2224
NPI assigned
Sep 10, 2020
Last updated
Sep 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Authorized official

Name
Jeffrey BorandiNPI 1780716878
Title
Anesthesiologist-Owner
Phone
(412) 725-1184

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
Dental Anesthesiology 1223D0004X NU Primary

Addresses

Primary practice location

234 S Main St
Slippery Rock, PA 16057-1247

Mailing address

234 S Main St
Slippery Rock, PA 16057-1247

National Provider Directory

National Provider Directory

Locations

234 S Main St
Slippery Rock, PA 16057
Phone (724) 794-2224

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": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1356956023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 S MAIN ST",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160571247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 S MAIN ST",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160571247",
            "telephone_number": "724-794-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA MOBILE ANESTHESIA ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "BORANDI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "ANESTHESIOLOGIST-OWNER",
        "authorized_official_telephone_number": "412-725-1184"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slippery Rock, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.