Provider Demographics
NPI:1447210737
Name:CAPITAL ANESTHESIA LLC
Entity Type:Organization
Organization Name:CAPITAL ANESTHESIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRNA
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:R
Authorized Official - Last Name:HARDING
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:717-975-2430
Mailing Address - Street 1:423 N 21ST ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2207
Mailing Address - Country:US
Mailing Address - Phone:717-975-2430
Mailing Address - Fax:717-730-2158
Practice Address - Street 1:423 N 21ST ST
Practice Address - Street 2:SUITE 106
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2207
Practice Address - Country:US
Practice Address - Phone:717-975-2430
Practice Address - Fax:717-730-2158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACK4880OtherRAIL;ROAD MEDICARE
PA059081Medicare PIN