Premier Anesthesia

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD072843L Issued in PA

Legal business name

PREMIER ANESTHESIA

Practice address

2701 Dekalb Pike
Anesthesia Department, Mercy Hospital
Norristown, PA 19401

Phone

(610) 278-2150

NPI assigned

Oct 22, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Shaneka Glover

Title

Provider Enrollment Coordinator

Phone

(404) 941-1241

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1891199659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 LONG MEADOW RD",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194466086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 DEKALB PIKE",
            "address_2": "ANESTHESIA DEPARTMENT, MERCY HOSPITAL",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "19401",
            "telephone_number": "610-278-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "SHANEKA",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT COORDINATOR",
        "authorized_official_telephone_number": "404-941-1241",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD072843L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Popolillo, PTA
• Sharon Porter, OT
• Lorraine Bohanske Possanza, D.P.M.
• Allana Powlette, RD
• Carol Ann Pozza-Caplan
• Premier Orthopaedic and Sports Medicine Associates LTD
• Premier Orthopaedic and Sports Medicine Associates LTD
• Rachel Marie Previte, LBS, LPC
• Douglas Price, PA
• Prime Time Dental

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.