Active NPI
Northeast Anesthesiology Inc
- Anesthesiology Physician
- Scranton, PA
National Provider Identifier
1407839871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- NORTHEAST ANESTHESIOLOGY INC
- Practice address
- 746 Jefferson Ave
Scranton, PA 18510-1624 - Phone
- (570) 346-7797
- Fax
- (570) 342-9802
- NPI assigned
- Nov 21, 2005
- Last updated
- Sep 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Kline, MD
- Title
- MD
- Phone
- (570) 346-7797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | NU | Primary |
Addresses
Primary practice location
746 Jefferson Ave
Scranton, PA 18510-1624
Mailing address
PO Box 390
Scranton, PA 18501-0390
Phone (570) 346-7797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0980682 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Anesthesiology Physician
- Scranton, PA
- NPI 1598741886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220918400000",
"number": "1407839871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 390",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185010390",
"telephone_number": "570-346-7797",
"fax_number": "570-342-9802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "746 JEFFERSON AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185101624",
"telephone_number": "570-346-7797",
"fax_number": "570-342-9802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST ANESTHESIOLOGY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-21",
"last_updated": "2008-09-09",
"status": "A",
"authorized_official_last_name": "KLINE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "570-346-7797",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0980682",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scranton, PA
- Nockley Family Pharmacy Inc (Nockley Family Pharmacy)
- Cindy H Noldy
- Roxann Nole-Graham, M.S. NCC LPC
- Julie Nong
- John C. Norcross, PHD
- Northeast Autism Center Inc.
- Northeast Ear, Nose & Throat Center, PC
- Northeast Pennsylvania Center for Independent Living (ACESS Financial Management Services)
- Northeast Pennsylvania Nephrology Associates PC
- Northeastern Eye Institute
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.