NPIMap

Organization Active NPI

Pennsylvania Medical Professionals PC

  • Certified Registered Nurse Anesthetist
  • Sunbury, PA
National Provider Identifier
1730132069
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
PENNSYLVANIA MEDICAL PROFESSIONALS PC
Practice address
350 N 11TH St
Sunbury, PA 17801-1611
Phone
(570) 286-3333
Fax
(570) 863-2128
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gary Newsome
Title
Group VP
Phone
(615) 465-7052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

350 N 11TH St
Sunbury, PA 17801-1611

Mailing address

350 N 11TH St
Sunbury, PA 17801-1611
Phone (570) 286-3333

Other names 1

  • Sunbury Anesthesia Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pennsylvania Medical Professionals PC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

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": "1598054400000",
    "number": "1730132069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N 11TH ST",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178011611",
            "telephone_number": "570-286-3333",
            "fax_number": "570-863-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N 11TH ST",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178011611",
            "telephone_number": "570-286-3333",
            "fax_number": "570-863-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA MEDICAL PROFESSIONALS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "GROUP VP",
        "authorized_official_telephone_number": "615-465-7052"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunbury Anesthesia Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunbury, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.