MOUNT NITTANY MEDICAL CENTER (NPI# 1528321015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528321015 |
| Entity Type | Organization |
| Organization Name | MOUNT NITTANY MEDICAL CENTER |
| Practice Address |
1800 E Park Ave State College PA 16803-6709 |
| Mailing Address |
Po Box 16 State College PA 16804-0016 |
| Practice Telephone | 8142317000 |
| Mailing Telephone | 8144665090 |
| Mailing Fax Number | 8144665095 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2016-03-23 |
| Authorized Official Name | MR. RANDY TEWKSBURY (SR VP OF FINANCE AND CFO) |
| Authorized Official Telephone | 8142346148 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215102355 | Mount Nittany Medical Center | General Acute Care Hospital | 120 Radnor Rd, State College, PA 16801-7970 | 2008-04-29 |
| 1598930638 | Mount Nittany Medical Center | General Acute Care Hospital | 120 Radnor Rd, State College, PA 16801-7970 | 2008-04-29 |
| 1235339243 | Mount Nittany Medical Center | Prosthetic/Orthotic Supplier | 120 Radnor Rd, Mnmc - Orthotics, State College, PA 16801-7970 | 2007-07-19 |
| 1346371507 | Mount Nittany Medical Center | General Acute Care Hospital | 1800 E Park Ave, State College, PA 16803-6701 | 2007-03-08 |
| 1780752378 | Mount Nittany Medical Center | Clinic/Center | 1800 E Park Ave, State College, PA 16803-6701 | 2006-12-01 |
| 1780750620 | Mount Nittany Medical Center | Clinic/Center | 1850 E Park Ave, State College, PA 16803-6706 | 2006-11-24 |
| 1104991801 | Mount Nittany Medical Center | Clinic/Center | 911 University Dr, State College, PA 16801-6626 | 2006-11-21 |
| 1710958251 | Mount Nittany Medical Center | Psychiatric Unit | 1800 E Park Ave, State College, PA 16803-6701 | 2006-02-01 |
| 1730173154 | Mount Nittany Medical Center | General Acute Care Hospital | 1800 E Park Ave, State College, PA 16803-6701 | 2005-08-31 |
| 1912906207 | Mount Nittany Medical Center | Ambulance | 1800 E Park Ave, State College, PA 16803-6701 | 2005-07-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MOUNT NITTANY MEDICAL CENTER | 1800 E Park Ave, State College, PA 16803-6709 |
| Street Address |
1800 E PARK AVE |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16803-6709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306841929 | Centre Diagnostic Imaging, PC | Radiology | 1800 E Park Ave, State College, PA 16803-6701 | 2005-06-20 |
| 1235756982 | Gary Whitaker | Nurse Anesthetist, Certified Registered | 1800 E Park Ave, State College, PA 16803-6701 | 2020-06-29 |
| 1366005225 | Lauren C. Hahn | Physician Assistant | 1800 E Park Ave, State College, PA 16803-6797 | 2019-04-17 |
| 1760954093 | Bryson Anderson | Nurse Anesthetist, Certified Registered | 1800 E Park Ave, State College, PA 16803-6709 | 2018-12-27 |
| 1518449644 | Chase B Cohron | Nurse Practitioner | 1800 E Park Ave, State College, PA 16803-6709 | 2018-09-05 |
| 1356856819 | Joeleen Marie Stocker | Dietitian, Registered | 1800 E Park Ave, Nutrition & Culinary Services, State College, PA 16803 | 2017-12-06 |
| 1417487257 | Robin Tuttle | Physician Assistant | 1800 E Park Ave, State College, PA 16803-6709 | 2017-06-14 |
| 1710415443 | Alissa Ann Franklin | Nurse Anesthetist, Certified Registered | 1800 E Park Ave, State College, PA 16803-6709 | 2017-05-25 |
| 1457885188 | Sarah A Guillard | Nurse Practitioner | 1800 E Park Ave, State College, PA 16803-6709 | 2017-04-19 |
| 1417496803 | Jill Martin | Physician Assistant | 1800 E Park Ave, State College, PA 16801-5602 | 2017-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851581 | Tammy Lynn Terosky | Massage Therapist | 2134 Sandy Drive, Suite 6, State College, PA 16803 | 2020-08-12 |
| 1548748973 | Molly Gomez | Occupational Therapist | 260 Lions Hill Road, State College, PA 16803 | 2018-07-28 |
| 1568981827 | David Scott Kautz | Pharmacist | 1665 North Atherton Place, State College, PA 16803 | 2017-09-18 |
| 1245751023 | Zenovia Tarmohamed | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, Penn State Health At Mount Nittany Medical Center, State College, PA 16803 | 2017-06-30 |
| 1407205362 | Alka Sood | Student in an Organized Health Care Education/Training Program | 1850 E. Park Avenue, State College, PA 16803 | 2016-06-10 |
| 1588018766 | Daniel Frankel | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, State College, PA 16803 | 2016-04-14 |
| 1154791903 | Megan Widener | Physician Assistant | 2520 Green Tech Dr., Ste. D, State College, PA 16803 | 2015-10-05 |
| 1114301330 | Phuong Tran Courtney | Physician Assistant | 1613 North Atherton Street, Suite B, State College, PA 16803 | 2015-07-17 |
| 1164806840 | Amit Thatte | Student in an Organized Health Care Education/Training Program | 1850 East Park Ave., Suite 207, Penn State Hershey Medical Group, State College, PA 16803 | 2015-07-13 |
| 1245588946 | Phoenix Rehabilitation and Health Services, Inc. | Chiropractor | 1700 Old Gatesburg Road, Suite 210, State College, PA 16803 | 2012-08-28 |
| Find all providers in zip 16803 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063808434 | Emily Elizabeth Smith-straesser | Anesthesiology | 476 Rolling Ridge Dr, State College, PA 16801-7639 | 2015-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629630504 | Bac Medical, Pllc | Anesthesiology | 3070 Bristol Pike # 2-130, Bensalem, PA 19020-5364 | 2019-07-01 |
| 1285294983 | Thomas Falasca | Anesthesiology | 411 Sybil Dr, Erie, PA 16505-2152 | 2019-06-17 |
| 1144711235 | Amy L. Croushore | Anesthesiology | 5750 Centre Ave Ste 400, Pittsburgh, PA 15206-3761 | 2018-05-23 |
| 1023521598 | Michaela R Lewis | Anesthesiology | 333 State St Ste 104, Erie, PA 16507-1463 | 2017-11-07 |
| 1457704652 | Guthrie Medical Group, P.C. | Anesthesiology | 37 Pratt Avenue, Towanda, PA 18848 | 2016-07-22 |
| 1932518669 | Pharo Pain Management Asociates, P.C. | Anesthesiology | 829 Spruce St Ste 308, Philadelphia, PA 19107-5752 | 2014-08-06 |
| 1457786253 | Lighthouse Medical, LLC | Anesthesiology | 507 Tire Hill Rd, Suite 100, Johnstown, PA 15905-7311 | 2013-09-11 |
| 1992137103 | Anish Sethi | Anesthesiology | 834 Chestnut St Ste T150, Philadelphia, PA 19107 | 2013-07-30 |
| 1528407392 | Soon Yong Jung | Anesthesiology | 1240 S Cedar Crest Blvd Ste 307, Allentown, PA 18103-6263 | 2013-06-14 |
| 1316381155 | Beacon Medical, LLC | Anesthesiology | 136 Jaycee Dr, Suite 10, Johnstown, PA 15904-3650 | 2013-04-23 |
| Find all providers with the same taxonomy | ||||
| City | STATE COLLEGE |
| Zip Code | 16803 |
Please comment or provide details below to improve the information on MOUNT NITTANY MEDICAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.