Provider Demographics
NPI:1841234085
Name:ANESTHESIOLOGY CONSULTANTS OF SOUTHWESTERN PENNSYLVANIA, PC
Entity Type:Organization
Organization Name:ANESTHESIOLOGY CONSULTANTS OF SOUTHWESTERN PENNSYLVANIA, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:FRYE
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:724-626-2411
Mailing Address - Street 1:401 E MURPHY AVE
Mailing Address - Street 2:
Mailing Address - City:CONNELLSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15425-2724
Mailing Address - Country:US
Mailing Address - Phone:724-626-2411
Mailing Address - Fax:
Practice Address - Street 1:7 PARKWAY CENTER
Practice Address - Street 2:SUITE 375
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220
Practice Address - Country:US
Practice Address - Phone:412-937-5700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2009-07-09
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
PA007812Medicare ID - Type Unspecified