Provider Demographics
NPI:1689661324
Name:PAPP, MICHAEL A (CRNA)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:A
Last Name:PAPP
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1245 S CEDAR CREST BLVD STE 301
Mailing Address - Street 2:
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 1:1200 S CEDAR CREST BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6202
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:2023-10-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PA71141367500000X
PA071141367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA11744016OtherCAQH
PA50026715OtherCAPITAL ADVANTAGE
PA9040458OtherAETNA
PA2248291000OtherINDEP BLUE CROSS
PA1027808610001Medicaid
PA1548385OtherGATEWAY
PA1567626OtherFIRST PRIORITY
PA82867OtherGEISINGER
PA1567626OtherHIGHMARK
PA2000103OtherKHP CENTRAL
PA2248291000OtherINDEP BLUE CROSS
PA1548385OtherGATEWAY
PA50026715OtherCAPITAL ADVANTAGE