Provider Demographics
NPI:1497742134
Name:SCHELL, JOSEPH P (CRNA)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:P
Last Name:SCHELL
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 S CEDAR CREST BLVD
Mailing Address - Street 2:SUITE #301
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6258
Mailing Address - Country:US
Mailing Address - Phone:610-402-9099
Mailing Address - Fax:610-402-9029
Practice Address - Street 1:2545 SCHOENERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7300
Practice Address - Country:US
Practice Address - Phone:610-402-9099
Practice Address - Fax:610-402-9029
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN506711L163W00000X
PA053722367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1368620OtherFIRST PRIORITY
PA1027813030001Medicaid
PA9686435OtherAETNA
PA1368620OtherHIGHMARK
PA2060629000OtherINDEP. BLUE CROSS
PA1543617OtherGATEWAY
PA82868OtherGEISINGER
PA03225301OtherCAPITAL ADVANTAGE
PA11766030OtherCAQH
PA1368620OtherKHP CENTRAL
PA2060629000OtherINDEP. BLUE CROSS
PA1368620OtherFIRST PRIORITY
PA82868OtherGEISINGER