Provider Demographics
NPI:1881950368
Name:QUALITY ANESTHESIA, INC
Entity type:Organization
Organization Name:QUALITY ANESTHESIA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:A
Authorized Official - Last Name:SIVICK
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:215-651-8180
Mailing Address - Street 1:PO BOX 670
Mailing Address - Street 2:
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-0670
Mailing Address - Country:US
Mailing Address - Phone:267-684-6065
Mailing Address - Fax:215-933-3120
Practice Address - Street 1:4979 OLD STREET RD
Practice Address - Street 2:SURGERY CENTER
Practice Address - City:TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-6222
Practice Address - Country:US
Practice Address - Phone:267-684-6065
Practice Address - Fax:215-933-3120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-09
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA239974Medicare PIN