WINDBROOK ANESTHESIA LLC (NPI# 1912351933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912351933 |
| Entity Type | Organization |
| Organization Name | WINDBROOK ANESTHESIA LLC |
| Practice Address |
10212 Governor Lane Blvd Suite 1004 Williamsport MD 21795-4086 |
| Mailing Address |
Po Box 7096 Stockton CA 95267-0096 |
| Practice Telephone | 3017334200 |
| Practice Fax Number | 3012237121 |
| Mailing Telephone | 2099567725 |
| Mailing Fax Number | 2099567733 |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-08-15 |
| Authorized Official Name | DR. LISA TREVAN (OWNER) |
| Authorized Official Telephone | 3017334200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Street Address |
10212 GOVERNOR LANE BLVD SUITE 1004 |
| City | WILLIAMSPORT |
| State | MD |
| Zip Code | 21795-4086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659313831 | Lisa Trevan | Anesthesiology | 10212 Governor Lane Blvd, Suite1004, Williamsport, MD 21795-4086 | 2006-06-12 |
| 1386011963 | Mason Dixon Surgery Center LLC | Clinic/Center | 10212 Governor Lane Blvd, Williamsport, MD 21795-4086 | 2015-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396736088 | Cynthia L Campbell | Nurse Anesthetist, Certified Registered | 10212 Governor Lane Blvd Unit 1004, Williamsport, MD 21795 | 2005-11-02 |
| 1417375692 | Jamie Clare Worsley | Family Medicine | 16605 Kendle Rd, Williamsport, MD 21795 | 2014-04-03 |
| 1548456460 | Judith Ann Christner | Speech-Language Pathologist | 154 N Artizan St, Williamsport, MD 21795 | 2007-09-25 |
| 1366530057 | Penbec Inc | Pharmacy | 34 N Conococheague St, Williamsport, MD 21795-1004 | 2006-10-10 |
| 1386717544 | Shannon Leigh Mellott | Occupational Therapy Assistant | 154 N Artizan St, Williamsport, MD 21795-1104 | 2006-11-16 |
| 1023586856 | Brianna Rachelle Dorsey | Speech-Language Pathologist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2018-11-09 |
| 1134697311 | Megan Dmuchowski | Occupational Therapist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2018-11-06 |
| 1427557800 | Flagship Rehabilitation, Inc | Occupational Therapist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2018-02-12 |
| 1154838811 | Jamie Auxt Mcelwee | Speech-Language Pathologist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2018-01-03 |
| 1346757275 | Christopher George Nyack | Occupational Therapist | 154 N Artizan St, Williamsport, MD 21795-1104 | 2017-12-31 |
| Find all providers in zip 21795 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659313831 | Lisa Trevan | Anesthesiology | 10212 Governor Lane Blvd, Suite1004, Williamsport, MD 21795-4086 | 2006-06-12 |
| 1629052188 | Ayaz M Khan | Anesthesiology | 553 E 3rd St, Pain Management of Williamsport, Williamsport, PA 17701-5316 | 2005-11-30 |
| 1093102980 | Michael Aaron Busada | Anesthesiology | 700 High St, Department of Anesthesiology, Williamsport, PA 17701-1770 | 2015-04-19 |
| 1952796799 | Vwaire Jude Ese Orhurhu | Anesthesiology | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2015-03-30 |
| 1871851261 | Matthew James Mcclain | Anesthesiology | 700 High St, Williamsport, PA 17701-3100 | 2012-04-24 |
| 1992908503 | Gregory Famiglio | Anesthesiology | 1101 E 3rd St, Williamsport, PA 17701-5411 | 2007-06-09 |
| 1639114689 | Susquehanna Physician Services | Anesthesiology | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2006-06-16 |
| 1467410191 | Anesthesia Associates of Williamsport, Inc | Anesthesiology | 777 Rural Ave, Williamsport, PA 17701-3109 | 2006-05-03 |
| 1922066752 | Kevin Kinkead | Anesthesiology | 777 Rural Ave, Williamsport, PA 17701-3109 | 2006-05-02 |
| 1427016252 | James B Mcclain | Anesthesiology | 777 Rural Ave, Williamsport, PA 17701-3109 | 2006-05-02 |
| Find all providers in WILLIAMSPORT | ||||
| City | WILLIAMSPORT |
| Zip Code | 21795 |
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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.