Individual provider Active NPI

Tia M Callahan

  • Certified Registered Nurse Anesthetist
  • Danville, PA
National Provider Identifier
1407930597
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN514776L Issued in PA
Practice address
100 North Academy Ave
Danville, PA 17822-9800
Phone
(570) 271-6621
Fax
(570) 271-6762
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN514776L PA Primary

Addresses

Primary practice location

100 North Academy Ave
Danville, PA 17822-9800

Mailing address

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

Other practice location 1

575 N River St
Wilkes Barre, PA 18702-2634
Phone (570) 829-8111

Other identifiers 1

IdentifierTypeStateIssuer
P01023888OtherPARR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061221000183 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567461551 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Ultracare Anesthesia Partners LLCGroup PAC ID 4082920525, 78 clinicians
Gulfstream Anesthesia Consultants PAGroup PAC ID 2365418241, 18 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6211

200 Mifflin Ave
Scranton, PA 18503-1982
Phone (570) 342-3145

275 Guthrie Dr
Troy, PA 16947-8115
Phone (877) 204-4155

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN514776LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2011 Accepting new patients
Geisinger Clinic CurrentSince Mar 13, 2024 Accepting new patients
Gulfstream Anesthesia Consultants PA Nurse Anesthetist, Certified Registered CurrentSince Jul 16, 2023 Accepting new patients
Hazleton Anesthesia Services, P.C. CurrentSince Feb 21, 2024 Accepting new patients
Geisinger Clinic Current Accepting new patients
Anthracite Anesthesia Consultants, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2023 Accepting new patients
360 Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2022 Accepting new patients
Centurion Anesthesia Penn LLC CurrentSince Jan 1, 2025 Accepting new patients
Geisinger Clinic CurrentSince Mar 13, 2024 Accepting new patients
Forty Fort Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2024 Accepting new patients

Locations (25 of 34)

400 10th St E
Waconia, MN 55387

200 Broadway
Ste 3149
Brooklyn, NY 11211

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

701 E 16th St
Berwick, PA 18603
Phone (570) 754-5000

95 Highland Ave
Ste 100
Bethlehem, PA 18017
Phone (610) 868-8600

1685 Valley Center Pkwy
Unit 200
Butztown, PA 18017
Phone 91768149632278

100 N Academy Ave
Danville, PA 17822

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

61 Industrial Dr
Hamburg, PA 19526
Phone (570) 617-7024

1060 N Church St
Hazle Township, PA 18202
Phone (570) 459-9927

10 Park Pl
Hazle Township, PA 18202
Phone (570) 454-1400

1062 N Church St
Hazle Township, PA 18202
Phone (570) 459-5102

700 E Broad St
Hazleton, PA 18201
Phone (570) 501-4000

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

190 Welles St
Kingston, PA 18704
Phone (570) 283-0524

490 Northampton St
Kingston, PA 18704
Phone (570) 288-8100

2128 Blakeslee Boulevard Dr E
Lehighton, PA 18235
Phone (484) 224-9970

790 Newtown Yardley Rd
Ste 415
Newtown, PA 18940
Phone (215) 579-2004

2000 Grant Ave
Philadelphia, PA 19115
Phone (215) 992-6000

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

20 N Sunnybrook Rd
Ste 2
Pottstown, PA 19464
Phone (484) 374-2600

575 E Norwegian St
Pottsville, PA 17901
Phone (570) 622-1200

201 E Laurel Blvd
Pottsville, PA 17901
Phone (570) 328-4444

48 Tunnel Rd
Ste 103
Pottsville, PA 17901
Phone (570) 622-6520

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 46

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1407930597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178229800",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NORTH ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178229800",
            "telephone_number": "570-271-6621",
            "fax_number": "570-271-6762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 N River St",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187022634",
            "country_code": "US",
            "telephone_number": "570-829-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "TIA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN514776L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01023888",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.