Organization Active NPI

Darrell J. Datko DO

Doing business as DJD Anesthesia Associates

  • Anesthesiology Physician
  • Clarion, PA
National Provider Identifier
1699774638
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
DARRELL J. DATKO DO
Doing business as
DJD Anesthesia Associates
Practice address
1 Hospital Dr
Clarion, PA 16214-8501
Phone
(814) 226-9500
Fax
(914) 226-1228
NPI assigned
Jul 20, 2005
Last updated
Jul 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Darrel J. Datko, DO
Title
President
Phone
(814) 226-9500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU

Addresses

Primary practice location

1 Hospital Dr
Clarion, PA 16214-8501

Mailing address

PO Box 947
Chambersburg, PA 17201-0947
Phone (717) 263-5562

Other identifiers 1

IdentifierTypeStateIssuer
001818451MedicaidPA

Other names 1

  • DJD Anesthesia Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1699774638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172010947",
            "telephone_number": "717-263-5562",
            "fax_number": "717-263-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162148501",
            "telephone_number": "814-226-9500",
            "fax_number": "914-226-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRELL J. DATKO DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "DATKO",
        "authorized_official_first_name": "DARREL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-226-9500",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001818451",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DJD Anesthesia Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarion, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.