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Organization Active NPI

Anesthesia Consultants of Meadville PC

  • Anesthesiology Physician
  • Meadville, PA
National Provider Identifier
1508843004
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ANESTHESIA CONSULTANTS OF MEADVILLE PC
Practice address
1034 Grove St
Meadville, PA 16335
Phone
(814) 333-5728
Fax
(814) 333-5726
NPI assigned
Dec 27, 2005
Last updated
Aug 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Lori K Danforth
Title
Office Manager
Phone
(814) 333-5728

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary
Certified Registered Nurse Anesthetist 367500000X NU

Addresses

Primary practice location

1034 Grove St
Meadville, PA 16335

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 333-5728

Other practice location 1

751 Liberty St
Meadville, PA 16335-2559
Phone (814) 333-5728

Other practice location 2

406 W Oak St
Titusville, PA 16354-1404
Phone (814) 333-5728

Other identifiers 3

IdentifierTypeStateIssuer
0011355160019MedicaidPA
0011366160020MedicaidPA
0011355160016MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041216000834 PA Part B Supplier - Clinic/Group Practice 1557328903 Receives reassigned benefits from 20 practitioners
Practice locations: Meadville, PA; Titusville, PA

National Provider Directory

National Provider Directory

Locations

406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851

Practitioners & affiliated clinicians

Practitioners 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1508843004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-333-5728",
            "fax_number": "814-333-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "16335",
            "telephone_number": "814-333-5728",
            "fax_number": "814-333-5726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163352559",
            "country_code": "US",
            "telephone_number": "814-333-5728",
            "fax_number": "814-333-5726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "PA",
            "postal_code": "163541404",
            "country_code": "US",
            "telephone_number": "814-333-5728",
            "fax_number": "814-333-5726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANESTHESIA CONSULTANTS OF MEADVILLE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "DANFORTH",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-333-5728"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011355160019",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011366160020",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011355160016",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.