East Freedom Surgical Associates, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EAST FREEDOM SURGICAL ASSOCIATES, LLC

Practice address

15721 Dunnings Hwy
Duncansville, PA 16635

Phone

(814) 623-0552

NPI assigned

Apr 25, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Tina Burke

Title

Cfo

Phone

(814) 623-0552

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

East Freedom Surgical Association LLCCCN 39C0001348

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hannah Frankhauser

  • Physical Therapy Assistant
  • Huntingdon, PA
  • NPI 1528514486
  NPD
• Stephen J Yanoshak, D.O.

  • Urology Physician
  • Everett, PA
  • NPI 1265640916

  Urology

  NPD (past)

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1558859645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MEMORIAL DR STE 2",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155377057",
            "telephone_number": "814-935-8309",
            "fax_number": "814-623-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15721 DUNNINGS HWY",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "16635",
            "telephone_number": "814-623-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST FREEDOM SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-623-0552",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "PA",
            "license": "OS007645L",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brianna Edwards
• Hannah Jean Edwards, MOTR
• Tera L Eichenlaub, ABOC NCLEC
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• Andrea Eyer, RN

• All providers in Duncansville, PA
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.