NPIMap

Organization Active NPI

Woodbourne Anesthesia, PC

  • Certified Registered Nurse Anesthetist
  • Levittown, PA
National Provider Identifier
1487600185
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
WOODBOURNE ANESTHESIA, PC
Practice address
1339 Woodbourne Rd
Levittown, PA 19057-1236
Phone
(215) 547-4409
NPI assigned
May 25, 2006
Last updated
Oct 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Elliott Frank, DONPI 1184659468
Title
Head of Group
Phone
(215) 547-4409

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
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

1339 Woodbourne Rd
Levittown, PA 19057-1236

Mailing address

PO Box 947
Chambersburg, PA 17201-0947
Phone (717) 263-5562

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060912000089 PA Part B Supplier - Clinic/Group Practice 0749284412 Receives reassigned benefits from 12 practitioners
Practice locations: Levittown, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1487600185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172010947",
            "telephone_number": "717-263-5562",
            "fax_number": "717-263-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 WOODBOURNE RD",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190571236",
            "telephone_number": "215-547-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBOURNE ANESTHESIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_title_or_position": "HEAD OF GROUP",
        "authorized_official_telephone_number": "215-547-4409",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.