Active NPI
Stanley C Sudar, CRNA
- Certified Registered Nurse Anesthetist
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN572548
- Practice address
- 4800 Friendship Ave
Pittsburgh, PA 15224-1722 - Phone
- (412) 578-5323
- Fax
- (412) 605-6425
- NPI assigned
- Apr 1, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN572548 | PA | Primary |
Addresses
Primary practice location
4800 Friendship Ave
Pittsburgh, PA 15224-1722
Mailing address
4800 Friendship Ave
Pittsburgh, PA 15224-1722
Phone (412) 578-5323
Other practice location 1
200 Lothrop St
Suite 200 C Wing
Pittsburgh, PA 15213-2536
Phone (412) 647-2345
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ssudar64951@direct.ahn.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, WV
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 Colliers Way
Weirton, WV 26062-5014
Phone (304) 797-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN572548 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Pennsylvania, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Weirton Medical Center Inc | Current | Accepting new patients | |
| Weirton Medical Center Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Weirton Medical Center Inc | Current | Accepting new patients |
Locations
1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000
601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156
109 Mount Wood Rd
Wheeling, WV 26003
Phone 3042332455146
Interoperability endpoints
- ssudar64951@direct.ahn.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Weirton, WV
- NPI 1144423864
-
- Anesthesiology Physician
- Darby, PA
- NPI 1700218989
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Weirton, WV
- NPI 1083904403
Nurse Anesthetist, Certified Registered
-
- Home Health Agency
- Weirton, WV
- NPI 1922009505
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Weirton, WV
- NPI 1619921947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1710220488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 FRIENDSHIP AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152241722",
"telephone_number": "412-578-5323",
"fax_number": "412-605-6425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 FRIENDSHIP AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152241722",
"telephone_number": "412-578-5323",
"fax_number": "412-605-6425"
}
],
"practiceLocations": [
{
"address_1": "200 Lothrop St",
"address_2": "Suite 200 C Wing",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152132536",
"country_code": "US",
"telephone_number": "412-647-2345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUDAR",
"first_name": "STANLEY",
"middle_name": "C",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-01",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN572548",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ssudar64951@direct.ahn.org",
"affiliation": "N",
"address_1": "4800 Friendship Ave",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152241722",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.