NPIMap

Organization Active NPI

Professional Anesthesia Services of Eastern Pennsylvania, P.C.

  • Certified Registered Nurse Anesthetist
  • Fogelsville, PA
National Provider Identifier
1992776553
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
PROFESSIONAL ANESTHESIA SERVICES OF EASTERN PENNSYLVANIA, P.C.
Practice address
7918 Main St
Suite 204
Fogelsville, PA 18051-1744
Phone
(610) 428-1544
Fax
(610) 395-9336
NPI assigned
Jan 31, 2006
Last updated
Feb 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Authorized official

Name
Joseph D'Amico, CRNANPI 1295739118
Title
Owner
Phone
(610) 428-1544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary
Anesthesiology Physician 207L00000X NU

Addresses

Primary practice location

7918 Main St
Suite 204
Fogelsville, PA 18051-1744

Mailing address

7918 Main St
Suite 204
Fogelsville, PA 18051-1744
Phone (610) 428-1544

Other identifiers 2

IdentifierTypeStateIssuer
001370187OtherHIGHMARK BS
CJ8874OtherPATRAVELERS MEDICARE

National Provider Directory

National Provider Directory

Locations

1611 Pond Rd
Ste 103
Allentown, PA 18104
Phone (610) 289-2172

2851 Baglyos Cir
Bethlehem, PA 18020
Phone (484) 821-0550

219 S Balliet St
Frackville, PA 17931
Phone (570) 874-3404

606 E Marshall St
Ste 205
West Chester, PA 19380
Phone (610) 296-8844

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1992776553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7918 MAIN ST",
            "address_2": "SUITE 204",
            "city": "FOGELSVILLE",
            "state": "PA",
            "postal_code": "180511744",
            "telephone_number": "610-428-1544",
            "fax_number": "610-395-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7918 MAIN ST",
            "address_2": "SUITE 204",
            "city": "FOGELSVILLE",
            "state": "PA",
            "postal_code": "180511744",
            "telephone_number": "610-428-1544",
            "fax_number": "610-395-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ANESTHESIA SERVICES OF EASTERN PENNSYLVANIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "D'AMICO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-428-1544",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "001370187",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "CJ8874",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fogelsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.