Active NPI
Paul R Jaselskis, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Mechanicsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN507048L
- Practice address
- 461 Nursery Dr N
Mechanicsburg, PA 17055-7017 - Phone
- (717) 795-1977
- NPI assigned
- Jun 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN507048L | PA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 26NR08840300 | NJ |
Addresses
Primary practice location
461 Nursery Dr N
Mechanicsburg, PA 17055-7017
Mailing address
461 Nursery Dr N
Mechanicsburg, PA 17055-7017
Phone (717) 795-1977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR08840300 | NJ | MD | Certified Registered Nurse Anesthetist |
| RN507048L | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwood Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northwood Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| NMG Southpark Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northwood Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Atlanticare Regional Medical Center | Past | Accepting new patients | |
| Mid-Atlantic Anesthesia Associates PA | Past | Accepting new patients |
Locations
3291 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-5800
1350 E Venice Ave
Venice, FL 34285
Phone (941) 484-2030
240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678
6035 Fairview Rd
Charlotte, NC 28210
Phone (336) 718-2078
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Venice, FL
- NPI 1811569197
Nurse Anesthetist, Certified Registered
-
dba Novant Nurse Anesthesia Professional Services
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1952690109
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1417529702
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Trinity, FL
- NPI 1780256073
Nurse Anesthetist, Certified Registered
-
dba ARMC Anesthesiologists
- Anesthesiology Physician
- Pomona, NJ
- NPI 1710930102
-
- Anesthesiology Physician
- Camden, NJ
- NPI 1366486508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699701920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "461 NURSERY DR N",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170557017",
"telephone_number": "717-795-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 NURSERY DR N",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170557017",
"telephone_number": "717-795-1977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASELSKIS",
"first_name": "PAUL",
"middle_name": "R",
"credential": "C.R.N.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN507048L",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NR08840300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.