Provider Demographics
NPI:1013263730
Name:HESTER, PAUL G (CRNA)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:G
Last Name:HESTER
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:MR
Other - First Name:PAUL
Other - Middle Name:G
Other - Last Name:HESTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNA
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-741-8250
Mailing Address - Fax:717-741-8289
Practice Address - Street 1:25 MONUMENT RD STE 270
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5073
Practice Address - Country:US
Practice Address - Phone:717-741-8250
Practice Address - Fax:717-741-8289
Is Sole Proprietor?:No
Enumeration Date:2012-07-31
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR178436367500000X
PATLRN066210367500000X
PARN756331367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD321516400Medicaid
MD321516400Medicaid