Indiana Regional Medical Center - Crna-Iasa

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

INDIANA REGIONAL MEDICAL CENTER - CRNA-IASA

Practice address

841 Hospital Rd
Indiana, PA 15701-3620

Phone

(724) 465-1922

NPI assigned

Jan 10, 2011

Last updated

Jul 10, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

INDIANA REGIONAL MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Mr. Michael F Ickowski, CPA, MBA

Title

Chief Financial Officer

Phone

(724) 357-7008

Specialties & licenses 1

Addresses

Part of

Indiana Hosp

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1891099636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 WASHINGTON RD",
            "address_2": "SUITE 307",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152281629",
            "telephone_number": "412-831-3744",
            "fax_number": "412-831-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 HOSPITAL RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013620",
            "telephone_number": "724-465-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA REGIONAL MEDICAL CENTER - CRNA-IASA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDIANA REGIONAL MEDICAL CENTER",
        "enumeration_date": "2011-01-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "ICKOWSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "724-357-7008",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA, MBA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indiana Regional Medical Center
• Indiana Regional Medical Center
• Indiana Regional Medical Center
• Indiana Regional Medical Center
• Indiana Regional Medical Center
• Indiana Regional Medical Center Pharmacy
• Indiana Skilled Nursing Inc (Beacon Ridge)
• Indiana Spine Center, LLC
• Indiana Total Therapy Inc
• Indiana Total Therapy, Inc

• Anesthesiology Physician in Indiana, PA
• Providers in Indiana, PA by specialty
• Anesthesiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.