Active NPI
Darrell J. Datko DO
Doing business as DJD Anesthesia Associates
- Anesthesiology Physician
- Clarion, PA
National Provider Identifier
1699774638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001818451 | Medicaid | PA |
Other names 1
- DJD Anesthesia Associates
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Anesthesiology Physician
- Clarion, PA
- NPI 1184623597
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.