Nittany Anesthesia PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

NITTANY ANESTHESIA PC

Practice address

101 Regent CT
State College, PA 16801-7965

Phone

(814) 231-2102

NPI assigned

Feb 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randy Michael Hulek

Title

Office Manager

Phone

(814) 861-2177

Specialties & licenses 1

Addresses

Other identifiers 6

Practitioners 4

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.

• Sharon Ann Brennan, CRNA

  • Chore Provider
  • State College, PA
  • NPI 1750481271
  NPD (past)
• Bonnie Dorman, CRNA

  • Anesthesiology Physician
  • State College, PA
  • NPI 1831282698
  NPD (past)
• Marla Ann Freeman, MD

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1104848126
  NPD (past)
• Sharon Irving, CRNA

  • Certified Registered Nurse Anesthetist
  • Lima, OH
  • NPI 1356399158
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528102712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168040223",
            "telephone_number": "814-861-2177",
            "fax_number": "814-238-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 REGENT CT",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017965",
            "telephone_number": "814-231-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NITTANY ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HULEK",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-861-2177"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "03091200",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN CENT",
            "identifier": "1338851",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1338851",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018963220001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "991B",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB8968",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Nicholls
• Rudy J Nicolas, M.D.
• Shannon Marie Nicosia, FNP
• Kathryn Sherril Nieman, PT
• Tedd P Niemi
• Nittany Dental, Inc. (Nittany Dental Associates)
• Nittany Eye Associates LTD
• Nittany Psychology Center
• Nittany Valley Charter School
• Nittany Valley Chiropractic Center LLC

• Anesthesiology Physician in State College, PA
• Providers in State College, PA by specialty
• Anesthesiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.