Organization Active NPI

Southfield Anesthesia, L.L.C.

  • Certified Registered Nurse Anesthetist
  • York, PA
National Provider Identifier
1629226873
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
SOUTHFIELD ANESTHESIA, L.L.C.
Practice address
2690 Southfield Drive
York, PA 17403-4510
Phone
(717) 741-1414
Fax
(717) 741-4774
NPI assigned
Aug 29, 2008
Last updated
Dec 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Authorized official

Name
Duane E Ahlbrandt, MDNPI 1942289046
Title
MD/President
Phone
(717) 741-1414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

2690 Southfield Drive
York, PA 17403-4510

Mailing address

2690 Southfield Drive
York, PA 17403-4510
Phone (717) 741-1414

Other identifiers 6

IdentifierTypeStateIssuer
1022119000001OtherPAMEDICAL ASSISTANCE
139494OtherPAMEDICARE
254646OtherPAUNISON HEALTH PLAN
002072433OtherPABLUE SHIELD
DO3335OtherGARAILROAD MEDICARE
50081121OtherPACAPITAL BLUECROSS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1629226873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 SOUTHFIELD DRIVE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034510",
            "telephone_number": "717-741-1414",
            "fax_number": "717-741-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 SOUTHFIELD DRIVE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034510",
            "telephone_number": "717-741-1414",
            "fax_number": "717-741-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHFIELD ANESTHESIA, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "AHLBRANDT",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "717-741-1414",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "1022119000001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "139494",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN",
            "identifier": "254646",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "002072433",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DO3335",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUECROSS",
            "identifier": "50081121",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.