Provider Demographics
NPI:1942297049
Name:MCGRATH, FRANCIS C (CRNA)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:C
Last Name:MCGRATH
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 BERGEN ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-2496
Mailing Address - Country:US
Mailing Address - Phone:973-972-4300
Mailing Address - Fax:
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:2005-10-04
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN-526784-L163W00000X
PA073190367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1027946700001Medicaid
PA1585070OtherGATEWAY
PA1866313OtherFIRST PRIORITY
PA2725253000OtherIBC
PA9461457OtherAETNA
PA50059834OtherCAPITAL ADVANTAGE
PA1866313OtherHIGHMARK
PA101112OtherGEISINGER
PA11803038OtherCAQH
PA089021QCYMedicare PIN
PA1866313OtherHIGHMARK