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UNIVERSITY OF PENN-ANESTHESIA NPI 1063541779


NPI Information

NPI: 1063541779
Provider Name: UNIVERSITY OF PENN-ANESTHESIA
Classification: Anesthesiology - 207LC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
3400 SPRUCE ST
4 DULLES
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 349-8310
Get Directions

UNIVERSITY OF PENN-ANESTHESIA is a critical care medicine anesthesiology in Philadelphia, PA. The provider is an anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. UNIVERSITY OF PENN-ANESTHESIA NPI is 1063541779. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3400 SPRUCE ST
4 DULLES
PHILADELPHIA, PA
ZIP 19104-206
Phone: (215) 349-8310

The provider's authorized official is Elizabeth Johnston .
The authorized official title is Executive Director and has the following contact phone number (215) 662-7583.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 7/24/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LP2900XAnesthesiologyPain MedicinePENNSYLVANIANo
2207L00000XAnesthesiologyPENNSYLVANIANo
3207LC0200XAnesthesiologyCritical Care MedicinePENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1542967OTHERPENNSYLVANIAAETNA
20056969000OTHERPENNSYLVANIAKEYSTONE
30006733040MEDICAIDPENNSYLVANIA
4401256MEDICARE PINPENNSYLVANIA
5401256OTHERPENNSYLVANIABLUE SHEILD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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