Active NPI
Jason P. Makin, CRNA
- Certified Registered Nurse Anesthetist
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 074745
- Practice address
- 1200 S Cedar Crest Blvd
Allentown, PA 18103-6202 - Phone
- (610) 402-9099
- Fax
- (610) 402-9029
- NPI assigned
- Feb 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN-533186 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 074745 | PA | Primary |
Addresses
Primary practice location
1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Mailing address
1245 S. Cedar Crest Blvd.
Suite #301
Allentown, PA 18103
Phone (610) 402-9099
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1794626 | Other | PA | FIRST PRIORITY |
| 2631636000 | Other | PA | IBC |
| 9669463 | Other | PA | AETNA |
| 1552963 | Other | PA | GATEWAY |
| 1027799870001 | Medicaid | PA | |
| 1794626 | Other | PA | HIGHMARK BLUE SHIELD |
| 50055370 | Other | PA | CAPITAL ADVANTAGE |
| 11766023 | Other | PA | CAQH |
| 50055370 | Other | PA | KEYSTONE CENTRAL |
| 2333 | Other | PA | GEISINGER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 S Cedar Crest Blvd
LVPG General in Patient Pediatrics
Allentown, PA 18103-6202
Phone (610) 402-6700
Hospital & facility affiliations
- Lehigh Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-533186 | PA | MD | Registered Nurse |
| 074745 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Anesthesia Services, P. C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lehigh Valley Physician Group | Current | Accepting new patients |
Locations
2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892
1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200
1245 S Cedar Crest Blvd
Ste 301
Allentown, PA 18103
Phone (610) 402-9080
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
-
- Certified Registered Nurse Anesthetist
- Allentown, PA
- NPI 1730174731
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Center Valley, PA
- NPI 1215272901
-
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
- Transplant Surgery Physician
- Allentown, PA
- NPI 1457309650
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1164400131
-
- Psychiatric Hospital Unit
- Bethlehem, PA
- NPI 1609834001
-
- Children's Hospital
- Allentown, PA
- NPI 1952954307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364169600000",
"number": "1689648495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 S. CEDAR CREST BLVD.",
"address_2": "SUITE #301",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "18103",
"telephone_number": "610-402-9099",
"fax_number": "610-402-9029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S CEDAR CREST BLVD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036202",
"telephone_number": "610-402-9099",
"fax_number": "610-402-9029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKIN",
"first_name": "JASON",
"middle_name": "P.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2013-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN-533186",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "074745",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY",
"identifier": "1794626",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "2631636000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9669463",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1552963",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1027799870001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1794626",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL ADVANTAGE",
"identifier": "50055370",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11766023",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE CENTRAL",
"identifier": "50055370",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "2333",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.