NPIMap

Organization Active NPI

360 Anesthesia PLLC

  • Anesthesiology Physician
  • Wilkes Barre, PA
National Provider Identifier
1811637366
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
360 ANESTHESIA PLLC
Practice address
575 N River St
Wilkes Barre, PA 18764-0999
Phone
(570) 829-8111
NPI assigned
Mar 31, 2022
Last updated
Sep 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Thomas Hopkins, MDNPI 1184881310
Title
President
Phone
(800) 232-5703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

575 N River St
Wilkes Barre, PA 18764-0999

Mailing address

PO Box 235019
Montgomery, AL 36123-5019
Phone (800) 232-5703

Other practice location 1

169 Riverside Dr
Binghamton, NY 13905-4246
Phone (607) 798-5732

Other practice location 2

400 W Commons Way
Johnson City, NY 13790-1835
Phone (860) 595-5341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, GA, TX, IL, KY, AL, NC, FL, NY9 enrollments

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
O20220623001003 PA Part B Supplier - Clinic/Group Practice 5991184863 Receives reassigned benefits from 143 practitioners
Practice locations: Scranton, PA; Sharon, PA; Wilkes Barre, PA
O20221219001701 GA Part B Supplier - Clinic/Group Practice 5991184863 Receives reassigned benefits from 10 practitioners
Practice locations: Blue Ridge, GA
O20230106002626 TX Part B Supplier - Clinic/Group Practice 5991184863 Receives reassigned benefits from 7 practitioners
Practice locations: Alpine, TX
O20230322000939 IL Part B Supplier - Clinic/Group Practice 5991184863 Receives reassigned benefits from 93 practitioners
Practice locations: Chicago, IL; Lincolnwood, IL; Oak Park, IL
O20230822003651 KY Part B Supplier - Clinic/Group Practice 5991184863 Receives reassigned benefits from 12 practitioners
Practice locations: Jackson, KY; Louisa, KY
O20230911003654 AL Part B Supplier - Clinic/Group Practice 5991184863 Receives reassigned benefits from 23 practitioners
Practice locations: Fort Payne, AL
O20240415000897 NC Part B Supplier - Clinic/Group Practice 5991184863 Receives reassigned benefits from 42 practitioners
Practice locations: Eden, NC; Lenoir, NC
O20260403002823 FL Part B Supplier - Clinic/Group Practice 5991184863 Receives reassigned benefits from 4 practitioners
Practice locations: Clearwater, FL
O20260506001121 NY Part B Supplier - Clinic/Group Practice 5991184863 Receives reassigned benefits from 42 practitioners
Practice locations: Binghamton, NY; Johnson City, NY

National Provider Directory

National Provider Directory
Tax ID family
360 Anesthesia PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

400 W Commons Way
Johnson City, NY 13790

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 369

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.

View all 369

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1811637366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235019",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361235019",
            "telephone_number": "800-232-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N RIVER ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187640999",
            "telephone_number": "570-829-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Binghamton",
            "state": "NY",
            "postal_code": "139054246",
            "country_code": "US",
            "telephone_number": "607-798-5732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W Commons Way",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "NY",
            "postal_code": "137901835",
            "country_code": "US",
            "telephone_number": "860-595-5341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "360 ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-232-5703",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.