LAFAYETTE ANESTHESIA GROUP, LLC (NPI# 1811541279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811541279 |
| Entity Type | Organization |
| Organization Name | LAFAYETTE ANESTHESIA GROUP, LLC |
| Practice Address |
4200 Monument Rd Philadelphia PA 19131-1625 |
| Mailing Address |
400 10th St E Waconia MN 55387-4552 |
| Practice Telephone | 8882090305 |
| Practice Fax Number | 9524423620 |
| Mailing Telephone | 8882090305 |
| Mailing Fax Number | 9524423620 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |
| Authorized Official Name | MICHAEL SINISCALCHI (PRESIDENT) |
| Authorized Official Telephone | 3473930765 |
| Authorized Official Credential | CRNA |
| 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 |
4200 MONUMENT RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19131-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043541 | Sarah Hanson | Social Worker | 4200 Monument Rd, Philadelphia, PA 19131-1689 | 2020-08-11 |
| 1639706898 | Jordyn Staar | Art Therapist | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2020-03-26 |
| 1558994467 | Samantha Suyon Woo | Social Worker | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2020-02-19 |
| 1679114961 | Colleen Andrews | Counselor | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2019-10-08 |
| 1083271621 | Wanda Maria Sztandera | Counselor | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2019-05-20 |
| 1801453477 | Bryan Gastelle | Student in an Organized Health Care Education/Training Program | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2019-05-20 |
| 1164088910 | Johanna Mae Dwinells | Music Therapist | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2019-05-17 |
| 1417423948 | Laura E Tyndall | Social Worker | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2018-10-23 |
| 1114403664 | Courtney Anne Murphy | Psychologist | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2018-07-18 |
| 1922511484 | Emily Claire Seidle | Social Worker | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2017-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1821629254 | Stephen Osowski | Student in an Organized Health Care Education/Training Program | 4170 City Avenue, Philadelphia, PA 19131 | 2020-02-04 |
| 1134774888 | Arti D Mistry | Dentist | 1126 Horsham Road, Philadelphia, PW 19131 | 2019-08-08 |
| 1275187221 | Grace Bernadette Farrelly | Occupational Therapist | 2101 Simpson House, Philadelphia, PA 19131 | 2019-07-29 |
| 1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
| 1922502582 | Kevin David Wojcik | Student in an Organized Health Care Education/Training Program | Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 | 2018-03-20 |
| 1235633900 | Nadja Hill | Home Health | 5203 Diamond Street, Philadelphia, PA 19131 | 2018-03-19 |
| 1932623857 | Mercy Management of Sepa | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131 | 2017-08-02 |
| 1578092235 | Sarah Marie Hoder | Specialist/Technologist | 4000 Presidential Avenue, Philadlephia, PA 19131 | 2017-06-07 |
| Find all providers in zip 19131 | ||||
| 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 |
|---|---|---|---|---|
| 1164029906 | Phuoc Nguyen | Nurse Anesthetist, Certified Registered | Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 | 2020-10-05 |
| 1356964159 | Michelle Copija | Nurse Anesthetist, Certified Registered | Society Hill Anesthesia Consultants, P.C., 301 S. 8th St Suite 2l, Philadelphia, PA 19106 | 2020-05-27 |
| 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 |
| 1598002008 | Greg Pedegana | Nurse Anesthetist, Certified Registered | 785 N Judson St, Philadelphia, PA 19130-2507 | 2013-01-04 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19131 |
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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.