Provider Demographics
NPI:1982632667
Name:ANESTHESIA CONSULTING INC
Entity Type:Organization
Organization Name:ANESTHESIA CONSULTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:GILBERT
Authorized Official - Last Name:LUTON
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:570-992-4413
Mailing Address - Street 1:HC 1 BOX 194K
Mailing Address - Street 2:KAREN GLEN WAY
Mailing Address - City:BRODHEADSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18322-9639
Mailing Address - Country:US
Mailing Address - Phone:570-992-4413
Mailing Address - Fax:570-992-4413
Practice Address - Street 1:250 S 21ST ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-3851
Practice Address - Country:US
Practice Address - Phone:610-250-4000
Practice Address - Fax:610-250-4896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN307301L367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA075429Medicare ID - Type UnspecifiedMEDICARE