TIMOTHY M. WIRTZ (NPI# 1134471857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134471857 |
| Entity Type | Individual |
| Full Name | TIMOTHY M. WIRTZ |
| Credential | CRNA |
| Practice Address |
1245 S Cedar Crest Blvd Ste 301 Allentown PA 18103-6258 |
| Practice Telephone | 6104028896 |
| Practice Fax Number | 6104029029 |
| Mailing Telephone | 6104028896 |
| Mailing Fax Number | 6104029029 |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2013-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN527078-L | PA | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 91019 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | GEISINGER | 1134471857 | 01 |
| PA | CAPITAL ADVANTAGE | 50111779 | 01 |
| PA | HIGHMARK | 1134471857 | 01 |
| PA | AETNA | 9551934 | 01 |
| PA | 1027793790001 | 05 | |
| PA | FIRST PRIORITY | 2745893 | 01 |
| PA | CAQH | 12447546 | 01 |
| PA | GATEWAY | 1613616 | 01 |
| PA | IND. BLUE CROSS | 3888598000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134277833 | Timothy J Wirtz | Family Medicine | 2401 Plover Road, Plover, WI 54467 | 2007-01-08 |
| Street Address |
1245 S CEDAR CREST BLVD STE 301 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053300889 | Marion A. Repko | Registered Nurse | 1245 S Cedar Crest Blvd Ste 301, Allentown, PA 18103-6258 | 2005-10-14 |
| 1114261567 | Robert M Verbosh | Registered Nurse | 1245 S Cedar Crest Blvd Ste 301, Allentown, PA 18103-6258 | 2012-11-23 |
| 1053663773 | Lisa Verbosh | Nurse Anesthetist, Certified Registered | 1245 S Cedar Crest Blvd Ste 301, Allentown, PA 18103-6258 | 2012-10-04 |
| 1962763995 | Samantha J Rutkoskie | Registered Nurse | 1245 S Cedar Crest Blvd Ste 301, Allentown, PA 18103-6258 | 2012-06-06 |
| 1437428547 | Coleen Prevoznik Alvarez | Registered Nurse | 1245 S Cedar Crest Blvd Ste 301, Allentown, PA 18103-6258 | 2011-12-19 |
| 1235408345 | Albert F Jurowicz Jr. | Registered Nurse | 1245 S Cedar Crest Blvd Ste 301, Allentown, PA 18103-6258 | 2011-12-19 |
| 1063794287 | Jeana M Santostefano | Registered Nurse | 1245 S Cedar Crest Blvd Ste 301, Allentown, PA 18103-6258 | 2011-09-14 |
| 1841493863 | Lehigh Valley Anesthesia Services, P. C. | Nurse Anesthetist, Certified Registered | 1245 S Cedar Crest Blvd Ste 301, Allentown, PA 18103-6258 | 2007-06-07 |
| 1710900246 | Donna J Mccarthy | Registered Nurse | 1245 S Cedar Crest Blvd Ste 301, Allentown, PA 18103-6258 | 2006-07-25 |
| 1265400956 | Jane R Pierson | Nurse Anesthetist, Certified Registered | 1245 S Cedar Crest Blvd Ste 301, Allentown, PA 18103-6258 | 2006-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
| 1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
| 1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
| 1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
| Find all providers in zip 18103 | ||||
| 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 |
|---|---|---|---|---|
| 1972153997 | Eastern Pennsylvania Endoscopy Center, LLC | Nurse Anesthetist, Certified Registered | 1501 N Cedar Crest Blvd Ste 100, Allentown, PA 18104-2309 | 2019-09-12 |
| 1417991365 | Lynn Howard Mead | Nurse Anesthetist, Certified Registered | 1503 N Cedar Crest Blvd, Allentown, PA 18104-2302 | 2006-06-15 |
| 1164496741 | Kathleen G Lodewick | Nurse Anesthetist, Certified Registered | 24 S 18th St, Allentown, PA 18104-5622 | 2006-02-13 |
| 1447232707 | Michelle R Huber | Nurse Anesthetist, Certified Registered | 5000 Tilghman St, Ste 240, Allentown, PA 18104 | 2005-11-14 |
| 1043216989 | Susan Elizabeth Abrams | Nurse Anesthetist, Certified Registered | 3147 College Heights Blvd, College Heights Endoscopy Center, Allentown, PA 18104-4813 | 2005-06-24 |
| 1114540127 | Eleanor Leonard | Nurse Anesthetist, Certified Registered | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-05-26 |
| 1588294656 | Jessica Miller | Nurse Anesthetist, Certified Registered | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-01-17 |
| 1669002739 | Rachel Gross | Nurse Anesthetist, Certified Registered | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-01-17 |
| 1487294534 | Anastasiya Stecker | Nurse Anesthetist, Certified Registered | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-01-07 |
| 1659910198 | Robert Weiland | Nurse Anesthetist, Certified Registered | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-01-02 |
| Find all providers in ALLENTOWN | ||||
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| 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.