MS. DIANE M. GAW


Address: 3401 N Broad St, Philadelphia, PA 19140-5103
Phone: 2157073326

MS. DIANE M. GAW (NPI# 1023275153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023275153
Entity Type Individual
Full Name MS. DIANE M. GAW
Credential CRNA
Practice Address 3401 N Broad St
Philadelphia
PA 19140-5103
Mailing Address 2450 W Hunting Park Ave
Philadelphia
PA 19129-1302
Practice Telephone 2157073326
Practice Fax Number 2157078028
Mailing Telephone 2157073326
Mailing Fax Number 2157078028
Enumeration Date 2008-05-16
Last Update Date 2018-04-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered RN353304L PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA AANA 070957 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
7701 Burholme Ave, Philadelphia, PA 191112437 2152141429

Office Location

Street Address 3401 N BROAD ST
City PHILADELPHIA
State PA
Zip Code 19140-5103

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NPI Name Taxonomy Address Enumeration
1942205133 Shefali Agrawal Specialist 3401 N Broad St, Philadelphia, PA 19140-5103 2005-06-15
1962018523 Caroline Grace Kelly Audiologist 3401 N Broad St, Philadelphia, PA 19140-5189 2020-09-18
1457965964 Barbara Ohiaeri Pharmacist 3401 N Broad St, Philadelphia, PA 19140-5103 2020-09-02
1710505904 Cara Greenspan 3401 N Broad St, Philadelphia, PA 19140-5103 2020-07-14
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1417575143 Sakshi Gandhi Internal Medicine 3401 N Broad St, Philadelphia, PA 19140-5189 2020-07-09
1801414594 Azka Rahman Internal Medicine 3401 N Broad St, Philadelphia, PA 19140-5103 2020-07-08
1417574658 Anna-kaye Marie Brown Anesthesiology 3401 N Broad St, Philadelphia, PA 19140-5189 2020-07-04
1285251405 Shalonda Cook Internal Medicine 3401 N Broad St, Philadelphia, PA 19140-5103 2020-07-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225640519 Desirea Grant Registered Nurse 2000 W. Venango Street, Phila, PA 19140 2020-08-19
1306316104 Carmen Doumit Dentist 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 2018-12-05
1780150375 Samantha Marina Felix Counselor 3803-3805 N 5th St, Philadelphia, PA 19140 2018-10-22
1518485135 Holly Marie Barbee Dietitian, Registered 4417 N 6th St., Philadelphia, PA 19140 2017-09-04
1033630892 Jessica Anne Tang Otolaryngology 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 2017-07-03
1710416870 Narsis Aminian Internal Medicine 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 2017-06-12
1629527338 Alaa Khatib Pharmacist 4616-4650 N. Broad Street, Philadelphia, PA 19140 2016-09-23
1548716160 Direct Home Health Care In Home Supportive Care 3550 N 9th St, Philadelphia, PA 19140 2016-09-01
1306399225 Zaima Choudhry Student in an Organized Health Care Education/Training Program Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 2016-07-27
1891145504 Saji Mathew Pharmacist 4530n 5th Street, Philadelphia, PA 19140 2016-06-14
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

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1730678012 Christina Martindale Nurse Anesthetist, Certified Registered 917 S 15th Street, Philadelphia, PA 19146 2018-05-02
1184139248 Sean Hanna Nurse Anesthetist, Certified Registered 736 Pine St Unit C, Philadelphia, PA 19106-4005 2017-12-11
1669851655 Amy Hardenbergh Nurse Anesthetist, Certified Registered 325 Chestnut Street, Suite 210, Society Hill Anesthesia Consultants, Philadelphia, PA 19106 2015-05-22
1174900591 Gregory J Nordick Nurse Anesthetist, Certified Registered 1035 Lombard St # 10, Philadelphia, PA 19147-1262 2015-05-05
1003200809 Joseph Clair Nurse Anesthetist, Certified Registered 1719 Spruce St Apt 4, Philadelphia, PA 19103-6135 2015-03-19
1033521406 Anne Patricia Gibson Nurse Anesthetist, Certified Registered 1222 Arch St, Apt. # 508, Philadelphia, PA 19107-2816 2014-05-20
1326480484 Anne James Anithottam Nurse Anesthetist, Certified Registered 9770 Susan Rd, Philadelphia, PA 19115-2928 2013-07-17
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City PHILADELPHIA
Zip Code 19140

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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