Organization Active NPI

Haverford Anesthesia Associates

  • Certified Registered Nurse Anesthetist
  • Broomall, PA
National Provider Identifier
1629023619
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN177257L Issued in PA
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

Updated by the provider on Aug 7, 2008

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)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.