INDIANA REGIONAL MEDICAL CENTER (NPI# 1265425359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265425359 |
| Entity Type | Organization |
| Organization Name | INDIANA REGIONAL MEDICAL CENTER |
| Practice Address |
835 Hospital Rd Anesthesiology Department - Crna Indiana PA 15701-3629 |
| Mailing Address |
835 Hospital Rd Po Box 788 Indiana PA 15701-3629 |
| Practice Telephone | 7243577008 |
| Practice Fax Number | 7243577414 |
| Mailing Telephone | 7243577008 |
| Mailing Fax Number | 7243577414 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2010-11-04 |
| Authorized Official Name | MR. ROBERT A. GONGAWARE (SR VICE PRESIDENT FOR FINANCE) |
| Authorized Official Telephone | 7243577008 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK | 1925891 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104055946 | Indiana Regional Medical Center | Clinic/Center | Indiana At Chestnut Ridge, 25 Colony Blvd, Blairsville, PA 15717 | 2009-07-14 |
| 1508047630 | Indiana Regional Medical Center | Clinic/Center | 1265 Wayne Ave Bldg Suite201, Center for Wound Healing, Indiana, PA 15701-3501 | 2007-11-16 |
| 1356334510 | Indiana Regional Medical Center | Clinic/Center | 835 Hospital Rd, Indiana, PA 15701-3629 | 2005-08-23 |
| 1598386013 | Indiana Regional Medical Center | General Acute Care Hospital | 835 Hospital Rd, Indiana, PA 15701-3629 | 2020-05-06 |
| 1952766263 | Indiana Regional Medical Center | General Acute Care Hospital | 835 Hospital Rd, Indiana, PA 15701-3629 | 2015-12-31 |
| 1366790750 | Indiana Regional Medical Center | Clinic/Center | 835 Hospital Rd, Urgicare At Irmc, Indiana, PA 15701-3629 | 2012-08-16 |
| 1770614919 | Indiana Regional Medical Center | Clinic/Center | 835 Hospital Road, Pediatric & Adolescent Dental Clinic, Indiana, PA 15701-0788 | 2007-03-08 |
| 1306973144 | Indiana Regional Medical Center | General Acute Care Hospital | 835 Hospital Road, Pharmacy Department, Indiana, PA 15701-0788 | 2007-02-28 |
| 1942396163 | Indiana Regional Medical Center | General Acute Care Hospital | 835 Hospital Road, Pet Scan, Indiana, PA 15701-0788 | 2006-10-05 |
| 1659315372 | Indiana Regional Medical Center | Clinic/Center | 835 Hospital Rd, Short Procedure Unit, Indiana, PA 15701-0788 | 2006-06-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INDIANA REGIONAL MEDICAL CENTER | 835 Hospital Rd, Indiana, PA 15701-3629 |
| Street Address |
835 HOSPITAL RD ANESTHESIOLOGY DEPARTMENT - CRNA |
| City | INDIANA |
| State | PA |
| Zip Code | 15701-3629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356334510 | Indiana Regional Medical Center | Clinic/Center | 835 Hospital Rd, Indiana, PA 15701-3629 | 2005-08-23 |
| 1598386013 | Indiana Regional Medical Center | General Acute Care Hospital | 835 Hospital Rd, Indiana, PA 15701-3629 | 2020-05-06 |
| 1811529217 | Julia Bosco | Physician Assistant | 835 Hospital Rd, Indiana, PA 15701-3629 | 2020-02-04 |
| 1174180590 | Taylor Marie Pohl | Physician Assistant | 835 Hospital Rd, Indiana, PA 15701-3629 | 2019-05-21 |
| 1477110088 | Heather Ann Marsh | Speech-Language Pathologist | 835 Hospital Rd, Indiana, PA 15701-3629 | 2019-05-20 |
| 1679034284 | Brittany D'nel Lindahl | Nurse Practitioner | 835 Hospital Rd, Indiana, PA 15701-3629 | 2019-03-27 |
| 1982162020 | Angela George | Nurse Anesthetist, Certified Registered | 835 Hospital Rd, Indiana, PA 15701-3629 | 2019-03-07 |
| 1629535851 | Marissa Romanish | Pharmacist | 835 Hospital Rd, Indiana, PA 15701-3629 | 2019-02-24 |
| 1720555972 | Alana M Rizzo | Nurse Anesthetist, Certified Registered | 835 Hospital Rd, Indiana, PA 15701-3629 | 2018-10-25 |
| 1467928820 | Julianne Diana Knezovich | Physician Assistant | 835 Hospital Rd, Indiana, PA 15701-3629 | 2018-10-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508811 | Paula A. Smulik | Pharmacist | 280 Indian Springs Rd Ste 125, Indiana, PA 15701 | 2019-10-08 |
| 1588143713 | William Aden Bendgen IIi | Counselor | 470 N 4th Street, Indiana, PA 15701 | 2018-08-08 |
| 1699266452 | Shiela Ikasilon Otwane | Nurse Practitioner | 1 Regency Square, 1524 Oakland Avenue, Indiana, PA 15701 | 2018-05-28 |
| 1881184745 | Samantha Nichcol Bennett | Social Worker | 793 Old Rte 119 Hwy U, Indiana, PA 15701 | 2018-05-16 |
| 1780193896 | Abbey Mae Hill | Counselor | 793 Old Rotue 119 Hwy N, Indiana, PA 15701 | 2017-09-21 |
| 1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
| 1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
| 1881069201 | Amanda J Orvosh | Counselor | 1163 Water St, Indiana, PA 15701 | 2015-12-10 |
| 1245602887 | Susan Marie Marchezak | Nurse Practitioner | 2128 Oakland Avenue, Indiana, PA 15701 | 2015-10-22 |
| 1538546353 | Hillary Beth Stitt | Counselor | 793 Old Rt 119 Hwy N, Community Guidance Center, Indiana, PA 15701 | 2015-04-30 |
| Find all providers in zip 15701 | ||||
| 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 |
|---|---|---|---|---|
| 1982162020 | Angela George | Nurse Anesthetist, Certified Registered | 835 Hospital Rd, Indiana, PA 15701-3629 | 2019-03-07 |
| 1720555972 | Alana M Rizzo | Nurse Anesthetist, Certified Registered | 835 Hospital Rd, Indiana, PA 15701-3629 | 2018-10-25 |
| 1831577683 | Nicole D Dimond | Nurse Anesthetist, Certified Registered | 835 Hospital Rd, Indiana, PA 15701-3629 | 2015-05-13 |
| 1013206010 | Jill Elizabeth Fulton | Nurse Anesthetist, Certified Registered | 835 Hospital Rd, Anesthesiology Department, Indiana, PA 15701-3629 | 2011-03-31 |
| 1114029139 | Steven L. Seever | Nurse Anesthetist, Certified Registered | 835 Hospital Road, Anesthesiology Department, Indiana, PA 15701-0788 | 2006-09-01 |
| 1063446649 | Peggy Hill | Nurse Anesthetist, Certified Registered | 841 Hospital Rd, Indiana, PA 15701-3620 | 2006-07-10 |
| 1417981085 | Michele J Johnston | Nurse Anesthetist, Certified Registered | 841 Hospital Rd, Indiana, PA 15701-3620 | 2006-07-10 |
| 1760416333 | Mary A Miller | Nurse Anesthetist, Certified Registered | 841 Hospital Rd, Indiana, PA 15701-3620 | 2006-07-10 |
| 1154393155 | Barbara A Newhouse | Nurse Anesthetist, Certified Registered | 835 Hospital Rd, Indiana Regional Medical Center, Indiana, PA 15701-0788 | 2006-02-03 |
| 1962485789 | Donna L. Watkins | Nurse Anesthetist, Certified Registered | 835 Hospital Road, Anesthesiology Department, Indiana, PA 15701-0788 | 2005-11-25 |
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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.