NPIMap

Organization Active NPI

Premier Anesthesia Services of Southwestern Pennsylvania LLC

  • Certified Registered Nurse Anesthetist
  • Canonsburg, PA
National Provider Identifier
1649574468
Registry record updated Jan 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN507559L Issued in PA
Legal business name
PREMIER ANESTHESIA SERVICES OF SOUTHWESTERN PENNSYLVANIA LLC
Practice address
148 Chambers LN
Canonsburg, PA 15317-2208
Phone
(724) 288-4010
Fax
(724) 745-1133
NPI assigned
Jan 9, 2011
Last updated
Jan 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2011

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

Authorized official

Name
Megan Richelle Dill, CRNANPI 1366417800
Title
Crna/President
Phone
(724) 288-4010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN507559L PA Primary
Pain Management Registered Nurse 163WP0000X RN507559L PA

Addresses

Primary practice location

148 Chambers LN
Canonsburg, PA 15317-2208

Mailing address

148 Chambers LN
Canonsburg, PA 15317-2208
Phone (724) 288-4010

Other names 1

  • Sleeping Beauties Anesthesia Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110516000542 PA Part B Supplier - Clinic/Group Practice 8426234097 Receives reassigned benefits from 42 practitioners
Practice locations: Altoona, PA; Cranberry Township, PA; Natrona Heights, PA; Pittsburgh, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 43

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.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1294531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294531200000",
    "number": "1649574468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 CHAMBERS LN",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172208",
            "telephone_number": "724-288-4010",
            "fax_number": "724-745-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 CHAMBERS LN",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172208",
            "telephone_number": "724-288-4010",
            "fax_number": "724-745-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ANESTHESIA SERVICES OF SOUTHWESTERN PENNSYLVANIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-09",
        "last_updated": "2011-01-09",
        "status": "A",
        "authorized_official_last_name": "DILL",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "RICHELLE",
        "authorized_official_title_or_position": "CRNA/PRESIDENT",
        "authorized_official_telephone_number": "724-288-4010",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN507559L",
            "primary": true
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "PA",
            "license": "RN507559L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleeping Beauties Anesthesia",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Canonsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.