Mobile Anesthesia, PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD418250 Issued in PA

Legal business name

MOBILE ANESTHESIA, PC

Practice address

4200 Hospital Rd
Coal Township, PA 17866-9668

Phone

(570) 644-6109

Fax

(570) 644-4363

NPI assigned

Nov 1, 2010

Last updated

Nov 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patrick T Konitzer, M.D.NPI 1487745311

Title

Owner

Phone

(570) 889-5378

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Patrick Thomas Konitzer, M.D.

  • Anesthesiology Physician
  • Coal Township, PA
  • NPI 1487745311
  Authorized official Same address or phone

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1699075135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 237",
            "city": "RINGTOWN",
            "state": "PA",
            "postal_code": "179670237",
            "telephone_number": "570-889-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 HOSPITAL RD",
            "city": "COAL TOWNSHIP",
            "state": "PA",
            "postal_code": "178669668",
            "telephone_number": "570-644-6109",
            "fax_number": "570-644-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE ANESTHESIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "KONITZER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-889-5378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD418250",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD418250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Eve Meyer, PA
• Jay Daniel Miller, M.S.W., L.C.S.W.
• Russell J Miller, PA C
• Angela Millham, PA-C
• Jennifer Lynn Mitchell, PA-C
• Modest Home Care LLC
• Lori M Moran, PA-C
• Mountain View Nursing, LP (Mountain View, A Nursing and Rehabilitation Center)
• Mountain View SNF Operations LLC (Trevorton Nursing and Rehabilitation Center)
• Northumberland County Mountain View Manor Nursing & Rehab Center

• Anesthesiology Physician in Coal Township, PA
• Providers in Coal Township, PA by specialty
• Anesthesiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.