Provider Demographics
NPI:1740965805
Name:CAS ANESTHESIA ASSOCIATES
Entity type:Organization
Organization Name:CAS ANESTHESIA ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMNINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALTHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-969-3882
Mailing Address - Street 1:17 OAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:OLD FORGE
Mailing Address - State:PA
Mailing Address - Zip Code:18518-1251
Mailing Address - Country:US
Mailing Address - Phone:570-969-3882
Mailing Address - Fax:570-983-0267
Practice Address - Street 1:200 MIFFLIN AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18503-1982
Practice Address - Country:US
Practice Address - Phone:570-969-3882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty