NORTHEAST REGIONAL SURGERY CENTER LLC (NPI# 1649270075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649270075 |
| Entity Type | Organization |
| Organization Name | NORTHEAST REGIONAL SURGERY CENTER LLC |
| Practice Address |
11 Gallagher Dr Plains PA 18705-1146 |
| Practice Telephone | 5709701030 |
| Practice Fax Number | 5702700577 |
| Mailing Telephone | 5709701030 |
| Mailing Fax Number | 5702700577 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2013-09-27 |
| Authorized Official Name | ROBINE SAUTASANIA CARDONI (BILLING SUPERVISOR) |
| Authorized Official Telephone | 5709701030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
17231501 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 3 RIVERS/MED PLUS PROVIDE | 000000148664 | 01 |
| PA | BLUE CROSS & WMC CHARGE M | 075544 | 01 |
| PA | AETNA PROVIDER NUMBER | 3346749 | 01 |
| PA | 1008875000001 | 05 | |
| PA | STERLING PROVIDER NUMBER | 39C0001156 | 01 |
| PA | GEISINGER PROVIDER NUMBER | 84235 | 01 |
| PA | DEPT OF LABOR PROVIDER NU | 125451600 | 01 |
| PA | FIRST PRIORITY PROVIDER N | 817821 | 01 |
| Street Address |
11 GALLAGHER DR |
| City | PLAINS |
| State | PA |
| Zip Code | 18705-1146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346240793 | Northeast Regional Anesthesia LLC | Anesthesiology | 11 Gallagher Dr, Plains, PA 18705-1146 | 2005-07-28 |
| 1275141848 | London Nicole Mckenna | Nurse Practitioner | 11 Gallagher Dr, Plains, PA 18705-1146 | 2020-07-20 |
| 1235545666 | Anthracite Anesthesia Associates, P.C. | Nurse Anesthetist, Certified Registered | 11 Gallagher Dr, Plains, PA 18705-1146 | 2014-07-07 |
| 1417377557 | Best Wellness Center, LLC | Chiropractor | 11 Gallagher Dr, Plains, PA 18705-1146 | 2014-04-16 |
| 1851672661 | Anesthesia Pain Care, LLC | Anesthesiology | 11 Gallagher Dr, Plains, PA 18705-1146 | 2011-09-07 |
| 1255585774 | Kerstin Maria Burman | Pain Medicine | 11 Gallagher Dr, Plains, PA 18705-1146 | 2008-11-11 |
| 1497755631 | Mark H Bell | Pain Medicine | 11 Gallagher Dr, Plains, PA 18705-1146 | 2005-07-29 |
| 1154321511 | Nicholas Kachur | Nurse Anesthetist, Certified Registered | 11 Gallagher Dr, Plains, PA 18705-1146 | 2005-07-28 |
| 1265432637 | Advanced Pain Management Specialists, PC | Pain Medicine | 11 Gallagher Dr, Plains, PA 18705-1146 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316446206 | Mark L Rowan | Physical Therapist | 667 North River Street, Plains, PA 18705 | 2018-02-06 |
| 1588105589 | Maxim Healthcare Services Inc | Home Health | 672 North River St., Suite 102, Plains, PA 18705 | 2017-03-10 |
| 1538572383 | Kevin Loftus | Pharmacist | 20 South River St, Plains, PA 18705 | 2014-06-10 |
| 1831345487 | Terry Lynn Elias | Speech-Language Pathologist | 1014 Morgan Drive, Wilkes-barre, PA 18705 | 2008-08-14 |
| 1578699963 | Renee Elizabeth Edwards | Dentist | 163 S River Street, Plains, PA 18705 | 2007-02-27 |
| 1669568770 | Wyoming Valley Alcohol and Drug Services Inc | Counselor | 437 North Main St., Wilkes Barre, PA 18705 | 2006-10-05 |
| 1912090689 | Emmanuel Egipto Jacob | Acupuncturist | 39 South River Street, Plains, PA 18705 | 2006-10-02 |
| 1336159508 | Albert David Janerich | Physical Medicine & Rehabilitation | 667 S River St, Plains, PA 18705 | 2006-08-09 |
| 1174543094 | Northeast Pedorthic Services Inc | Durable Medical Equipment & Medical Supplies | 234 S River Rd, Plains, PA 18705 | 2006-07-21 |
| 1235118225 | Riverview Orthotics Prosthetics Inc | Prosthetic/Orthotic Supplier | 220 South River St, Suite 204, Plains, PA 18705 | 2006-01-10 |
| Find all providers in zip 18705 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871108068 | Tilden Ambulatory Surgery Center, LLC | Clinic/Center | 61 Industrial Dr, Hamburg, PA 19526-8768 | 2020-09-14 |
| 1447862834 | Us Cardio Washington LLC | Clinic/Center | 1000 Park Place Dr Ste 201, Washington, PA 15301-2064 | 2020-08-18 |
| 1518575778 | Eye Surgery of The Main Line, LLC | Clinic/Center | 333 E City Avenue, Two Bala Plaza, Bala Cynwyd, PA 19004-1501 | 2020-07-14 |
| 1053934919 | Doylestown Surgery Center, LLC | Clinic/Center | 593 West State Street, Doylestown, PA 18901 | 2020-05-26 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
| 1508400920 | Nazareth Endoscopy Center, LLC | Clinic/Center | 2401 Northampton St Ste 220, Easton, PA 18045-2764 | 2019-10-29 |
| 1235788878 | Integrated Surgical Institute, LLC | Clinic/Center | West Ridge Business Campus, 1001 James Drive, Leesport, PA 19533 | 2019-09-06 |
| 1841759040 | Beaver Valley Ambulatory Surgery Center, LLC | Clinic/Center | 79 Wagner Road, Suite 101, Monaca, PA 15061-2489 | 2019-03-18 |
| 1669931861 | Urology Health Surgery Center, LLC | Clinic/Center | 1974 Sproul Rd Ste 104, Broomall, PA 19008-3402 | 2019-03-18 |
| Find all providers with the same taxonomy | ||||
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| 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.