Organization Active NPI

Beechmont Anesthesia

  • Anesthesiology Physician
  • Hazleton, PA
National Provider Identifier
1700839008
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
BEECHMONT ANESTHESIA
Practice address
50 Moisey Drive
Suite 204
Hazleton, PA 18202
Phone
(570) 501-6860
Fax
(570) 501-6869
NPI assigned
May 18, 2006
Last updated
May 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Renee Stroup
Title
Billing Credentialing Manager
Phone
(570) 501-6863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

50 Moisey Drive
Suite 204
Hazleton, PA 18202

Mailing address

PO Box 70
Mountain Top, PA 18707
Phone (570) 501-6860

Other identifiers 1

IdentifierTypeStateIssuer
1013091350001MedicaidPA

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": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1700839008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "18707",
            "telephone_number": "570-501-6860",
            "fax_number": "570-501-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MOISEY DRIVE",
            "address_2": "SUITE 204",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "18202",
            "telephone_number": "570-501-6860",
            "fax_number": "570-501-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEECHMONT ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "STROUP",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "BILLING CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "570-501-6863"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013091350001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.