Organization Active NPI

Union Deposit Anesthesia, PC

  • Specialist
  • Harrisburg, PA
National Provider Identifier
1417993684
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
UNION DEPOSIT ANESTHESIA, PC
Practice address
4760 Union Deposit Rd
Harrisburg, PA 17111-3729
Phone
(717) 545-8525
Fax
(717) 545-7388
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Mr. Bill Rhoades
Title
Administrator
Phone
(717) 545-8525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4760 Union Deposit Rd
Harrisburg, PA 17111-3729

Mailing address

4760 Union Deposit Rd
Harrisburg, PA 17111-3729
Phone (717) 545-8525

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071105000402 PA Part B Supplier - Clinic/Group Practice 0547357725 Receives reassigned benefits from 4 practitioners
Practice locations: Harrisburg, PA

National Provider Directory

National Provider Directory

Locations

4760 Union Deposit Rd
Ste 110
Harrisburg, PA 17111
Phone (717) 545-8525

4760 Union Deposit Rd
Harrisburg, PA 17111
Phone (717) 545-8525

4760 Union Deposit Rd
Ste 120
Harrisburg, PA 17111
Phone (717) 545-8525

Practitioners & affiliated clinicians

Practitioners 7

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": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1417993684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 UNION DEPOSIT RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171113729",
            "telephone_number": "717-545-8525",
            "fax_number": "717-545-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 UNION DEPOSIT RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171113729",
            "telephone_number": "717-545-8525",
            "fax_number": "717-545-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION DEPOSIT ANESTHESIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "RHOADES",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "717-545-8525",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.