Provider Demographics
NPI:1396923835
Name:REMCARE ANESTHESIA SOLUTIONS LLC
Entity type:Organization
Organization Name:REMCARE ANESTHESIA SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:BERKHEIMER
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:814-949-8808
Mailing Address - Street 1:5000 6TH AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-1445
Mailing Address - Country:US
Mailing Address - Phone:814-201-2523
Mailing Address - Fax:
Practice Address - Street 1:176 VISION DR
Practice Address - Street 2:
Practice Address - City:DUNCANSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16635
Practice Address - Country:US
Practice Address - Phone:814-949-8808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN327612L367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA021699Medicare Oscar/Certification
PAS67786Medicare UPIN