Provider Demographics
NPI:1811984792
Name:OHL, DANIEL C (CRNA)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:C
Last Name:OHL
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
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Mailing Address - Street 1:1245 S CEDAR CREST BLVD
Mailing Address - Street 2:SUITE #301
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6258
Mailing Address - Country:US
Mailing Address - Phone:610-402-9099
Mailing Address - Fax:610-402-9029
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:2005-10-05
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PARN278978L163W00000X
PA044468367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA9693466OtherAETNA
PA1027794210001Medicaid
PA1343761OtherKHP CENTRAL
PA1343761OtherFIRST PRIORITY
PA1343761OtherHIGHMARK
PA1585155OtherGATEWAY
PA11766026OtherCAQH
PA2036373000OtherINDEP. BLUE CROSS
PA82866OtherGEISINGER
PA03224801OtherCAPITAL ADVANTAGE
PA1343761OtherFIRST PRIORITY
PA11766026OtherCAQH
PA005369QCYMedicare PIN