NPIMap

Organization Active NPI

Pocono Anesthesia Associates,PC

  • Anesthesiology Physician
  • State College, PA
National Provider Identifier
1972521698
Registry record updated Jan 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD033862L Issued in PA
Legal business name
POCONO ANESTHESIA ASSOCIATES,PC
Practice address
945 Outer Dr
State College, PA 16801-8236
Phone
(814) 466-7975
Fax
(814) 466-7974
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2008

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

Authorized official

Name
Dr. Edward Hazlitt Dench Jr., MD
Title
President
Phone
(814) 466-7975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X MD033862L PA Primary

Addresses

Primary practice location

945 Outer Dr
State College, PA 16801-8236

Mailing address

PO Box 580
Boalsburg, PA 16827-0580
Phone (814) 466-7975

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200787200000",
    "number": "1972521698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "BOALSBURG",
            "state": "PA",
            "postal_code": "168270580",
            "telephone_number": "814-466-7975",
            "fax_number": "814-466-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 OUTER DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168018236",
            "telephone_number": "814-466-7975",
            "fax_number": "814-466-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCONO ANESTHESIA ASSOCIATES,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-01-20",
        "status": "A",
        "authorized_official_last_name": "DENCH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "HAZLITT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-466-7975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD033862L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2008; 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.