POTTSVILLE ANESTHESIA ASSOCIATES LLC (NPI# 1104284561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104284561 |
| Entity Type | Organization |
| Organization Name | POTTSVILLE ANESTHESIA ASSOCIATES LLC |
| Practice Address |
48 Tunnel Rd Suite 103 Pottsville PA 17901-3875 |
| Mailing Address |
1a Burton Hills Blvd Attn: Provider Enrollment Nashville TN 37215-6187 |
| Practice Telephone | 5706226520 |
| Practice Fax Number | 5706226525 |
| Mailing Telephone | 6156651283 |
| Mailing Fax Number | 6152403809 |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-08-09 |
| Authorized Official Name | PHILLIP CLENDENIN (PRESIDENT) |
| Authorized Official Telephone | 6156651283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
48 TUNNEL RD SUITE 103 |
| City | POTTSVILLE |
| State | PA |
| Zip Code | 17901-3875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003819160 | Mandy Lynn Bixler | Physical Therapist | 48 Tunnel Rd, Pottsville, PA 17901-3875 | 2005-05-23 |
| 1912462243 | Monica Breann Benulis | Nurse Practitioner | 48 Tunnel Rd, Pottsville, PA 17901-3875 | 2019-01-31 |
| 1518395573 | Robin Roche Zook | Nurse Practitioner | 48 Tunnel Rd, Pottsville, PA 17901-3875 | 2013-10-29 |
| 1205129293 | Herbert L Kunkle Md PC | Orthopaedic Surgery | 48 Tunnel Rd, Suite 202, Pottsville, PA 17901-3875 | 2011-05-24 |
| 1326361031 | Rebecca Jarrett | Physical Therapist | 48 Tunnel Rd, Suite 202, Pottsville, PA 17901-3875 | 2010-03-09 |
| 1841438264 | The Pottsville Pa Endoscopy Asc, LLP (crna) | Registered Nurse | 48 Tunnel Rd, Ste 103, Pottsville, PA 17901-3875 | 2009-01-22 |
| 1588849764 | The Pottsville Pa Endoscopy Asc Lp | Clinic/Center | 48 Tunnel Rd, Suite 103, Pottsville, PA 17901-3875 | 2008-01-07 |
| 1386833044 | The Pottsville Pa Endoscopy Asc Lp | Clinic/Center | 48 Tunnel Rd, Suite 103, Pottsville, PA 17901-3875 | 2007-10-18 |
| 1417155151 | Mark Daniel Brayford | Family Medicine | 48 Tunnel Rd, Suite 203, Pottsville, PA 17901-3875 | 2007-07-03 |
| 1639386303 | Jason Phillips | Orthopaedic Surgery | 48 Tunnel Rd, Suite 203, Pottsville, PA 17901-3875 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013409762 | Culture2culture, Inc. | Community/Behavioral Health | 110 E Arch St Fl 1, Pottsville, PA 17901 | 2018-05-30 |
| 1376059444 | Stacie Marie Herring | Registered Nurse | 1400 Laurel Boulevard, Pottsville, PA 17901 | 2017-12-27 |
| 1477092567 | Dr. Scott Rosenthal, P.C. | Pain Medicine | 48 Tunnel Rd Ste 202, Pottsville, PA 17901 | 2017-02-22 |
| 1932573268 | Allied Health Care Services | Community/Behavioral Health | 320 N Second St, Pottsville, PA 17901 | 2015-11-24 |
| 1417344862 | Megan Heffron-foose | Behavioral Analyst | 221 Mahantongo Street, Pottsville, PA 17901 | 2015-04-23 |
| 1326443417 | Richard Adam Haycock | Psychiatry & Neurology | 16 South Centre St, Pottsville, PA 17901 | 2014-10-31 |
| 1245647296 | Maria Gustis | Counselor | 100 Greenbriar Road, Pottsville, PA 17901 | 2014-07-22 |
| 1790198398 | Michelle Chilinskas | Pharmacist | 500 N Claude Lord Blvd, Pottsville, PA 17901 | 2014-06-11 |
| 1952720153 | Darcie Nan Roeder | Physical Therapy Assistant | 700 E Norwegian St., Pottsville, PA 17901 | 2014-04-15 |
| 1205180858 | Rocky Mountain Holdings LLC | Ambulance | 1394 Cedar St, Pottsville, PA 17901 | 2012-11-05 |
| Find all providers in zip 17901 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770585614 | Michael Moore I | Nurse Anesthetist, Certified Registered | 227 Louisa Ave, Pottsville, PA 17901-8689 | 2005-08-11 |
| 1417959511 | Terry Lee Lex | Nurse Anesthetist, Certified Registered | 49 Tunnel Rd, Ste 103, Pottsville, PA 17901-0049 | 2005-08-10 |
| 1164709077 | Michele Diane Schwartz | Nurse Anesthetist, Certified Registered | 420 S Jackson St, Pottsville, PA 17901-3625 | 2011-11-05 |
| 1558669465 | Elizabeth H Flannery | Nurse Anesthetist, Certified Registered | 420 S Jackson St, Pottsville, PA 17901-3625 | 2011-03-02 |
| 1609174507 | Sherry L Burinsky-bottor | Nurse Anesthetist, Certified Registered | 420 S Jackson St, Pottsville, PA 17901-3625 | 2011-03-02 |
| 1881992790 | Jessica Lynn Yoder | Nurse Anesthetist, Certified Registered | 420 S Jackson St, Pottsville, PA 17901-3625 | 2011-03-02 |
| 1073789244 | Pinnacle Mid-atlantic Anesthesia Associates PC | Nurse Anesthetist, Certified Registered | 700 E Norwegian St, Pottsville, PA 17901-2710 | 2008-05-07 |
| 1750487575 | Julianne M Tidmore | Nurse Anesthetist, Certified Registered | 420 S Jackson St, Pottsville, PA 17901-3625 | 2006-09-16 |
| 1124124052 | Kathleen Owens | Nurse Anesthetist, Certified Registered | 420 S Jackson St, Pottsville, PA 17901-3625 | 2006-09-16 |
| 1578669388 | David W Sincavage | Nurse Anesthetist, Certified Registered | 420 S Jackson St, Pottsville, PA 17901-3625 | 2006-09-16 |
| Find all providers in POTTSVILLE | ||||
| City | POTTSVILLE |
| Zip Code | 17901 |
Please comment or provide details below to improve the information on POTTSVILLE ANESTHESIA ASSOCIATES LLC.
| 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.