Upmc Williamsport

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

UPMC WILLIAMSPORT

Doing business as

Williamsport Regional Medical Center

Practice address

700 High St
Williamsport, PA 17701-3198

Phone

(570) 321-2385

Fax

(570) 321-2479

NPI assigned

May 19, 2006

Last updated

Feb 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles Santangelo

Title

Executive VP-Cfo

Phone

(570) 321-3171

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Williamsport Regional Medical Center Doing business as

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1710930557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GRAMPIAN BLVD",
            "address_2": "SUITE 1K",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HIGH ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013198",
            "telephone_number": "570-321-2385",
            "fax_number": "570-321-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC WILLIAMSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "SANTANGELO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "EXECUTIVE VP-CFO",
        "authorized_official_telephone_number": "570-321-3171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "4223",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamsport Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Upmc Williamsport (Williamsport Regional Medical Center SPU- Divine Providence Campus)
• Upmc Williamsport
• Upmc Williamsport
• Upmc Williamsport (Williamsport Regional Medical Center)
• Upmc Williamsport
• Upmc Williamsport
• Upmc Williamsport
• Katya Elysia Vallon
• Abagail Vanaskie, CRNP
• Barbara J Vanaskie, LCSW

• Certified Registered Nurse Anesthetist in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.