Active NPI
Haverford Anesthesia Associates
- Certified Registered Nurse Anesthetist
- Broomall, PA
National Provider Identifier
1629023619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN177257L
- Legal business name
- HAVERFORD ANESTHESIA ASSOCIATES
- Practice address
- 33 Schoolhouse LN
Broomall, PA 19008-1818 - Phone
- (610) 353-6590
- NPI assigned
- May 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Isaacson
- Title
- Mediacl Director
- Phone
- (610) 853-7780
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN177257L | PA | Primary |
Addresses
Primary practice location
33 Schoolhouse LN
Broomall, PA 19008-1818
Mailing address
2010 W Chester Pike
Havertown, PA 19083-2700
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Havertown, PA
- NPI 1811982101
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218067200000",
"number": "1629023619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 W CHESTER PIKE",
"city": "HAVERTOWN",
"state": "PA",
"postal_code": "190832700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 SCHOOLHOUSE LN",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190081818",
"telephone_number": "610-353-6590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAVERFORD ANESTHESIA ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-24",
"last_updated": "2008-08-07",
"status": "A",
"authorized_official_last_name": "ISAACSON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "MEDIACL DIRECTOR",
"authorized_official_telephone_number": "610-853-7780",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN177257L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broomall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.