360 Anesthesia PLLC
Organization Active NPI Anesthesiology Physician · Wilkes Barre, PA
NPI 1811637366 · NPPES record last updated Sep 11, 2026
Key facts
- NPI
- 1811637366
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 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
- Organization subpart
- No
Authorized official
- Name
- Thomas Hopkins, MD
- Title
- President
- Phone
- (800) 232-5703
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Practitioners 369
-
Amy Campbell, CRNA
-
Kim Marie Connors, CRNA
-
Lesley Michelle Corbin, DNP, CRNA
-
Ann Culp, CRNA
-
Nancy Jean Dines, CRNA
-
Patricia Dowd, CRNA
-
John Giglio, CRNA
-
Linda A. Grady, CRNA
-
Lisa Hayes, CRNA
-
David Hudspath, CRNA
-
Philip Hughes, CRNA
-
Alexander Karpyuk, CRNA
-
Theresa A Kelly, CRNA
-
William P Knight, CRNA
-
Bernice Kostelansky, CRNA
-
Michael Koval, CRNA
-
Aliya Alla Lazinsky, MSN,CRNA
-
Sharon Lobitz, CRNA
-
Cathy Lynn McCullough, CRNA
-
Kelsey L Mihal, CRNA
-
Keith Michael Milligan, CRNA
-
Erwin Moritz, MD
-
Lisa Mullen, CRNA
-
Tracy L. Murray, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (9 enrollments) in PA, GA, TX, IL, KY, AL, NC, FL, NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Tax ID family
- 360 Anesthesia PLLC
Locations
400 W Commons Way
Johnson City, NY 13790
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes | ||
| Certified Registered Nurse Anesthetist |
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
400 W Commons Way
Johnson City, NY 13790-1835
Phone (860) 595-5341
Other practice location 2
169 Riverside Dr
Binghamton, NY 13905-4246
Phone (607) 798-5732
Other providers in Wilkes Barre, PA
- 360 Anesthesia PLLC
- 440 North River Street Opns LLC
- A Better Today, Inc.
- A New Today
- A1 Mobility Products
- Lindsay Victoria Abbott
All providers in Wilkes Barre, PA · Anesthesiology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.