UPENDRA N THAKER (NPI# 1962404731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962404731 |
| Entity Type | Individual |
| Full Name | UPENDRA N THAKER |
| Credential | M.D. |
| Practice Address |
1700 Old Gatesburg Rd Ste 100 State College PA 16803-2276 |
| Practice Telephone | 8142373360 |
| Practice Fax Number | 8142372130 |
| Mailing Telephone | 8142373360 |
| Mailing Fax Number | 8142372130 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2013-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | MD049863L | PA | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD049863L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1700 OLD GATESBURG RD STE 100 |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16803-2276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194725812 | Scott E Butler | Physician Assistant | 1700 Old Gatesburg Rd, Ste 100, State College, PA 16803-2276 | 2005-07-22 |
| 1093156432 | Phoenix Rehabilitation and Health Services, Inc. | Chiropractor | 1700 Old Gatesburg Rd, Suite 210, State College, PA 16803-2276 | 2013-07-15 |
| 1174883409 | Heimer Eyewear LLC | Eyewear Supplier (Equipment, not the service) | 1700 Old Gatesburg Rd, Suite 300, State College, PA 16803 | 2012-05-21 |
| 1578708897 | Jay Michael Fiore | Ophthalmology | 1700 Old Gatesburg Rd, Suite 300, State College, PA 16803-2276 | 2008-12-16 |
| 1790979102 | Molly Elizabeth Wood | Optometrist | 1700 Old Gatesburg Rd, Suite 300, State College, PA 16803-2276 | 2007-08-29 |
| 1659577906 | Jill Renee Finke | Optometrist | 1700 Old Gatesburg Rd, Suite 300, State College, PA 16803-2276 | 2007-06-25 |
| 1164636676 | Jennifer L Gilbert | Anesthesiology | 1700 Old Gatesburg Rd, Ste 100, State College, PA 16803-2276 | 2007-05-10 |
| 1679641435 | Brent F. Melius | Physical Therapist | 1700 Old Gatesburg Rd, Suite 210, State College, PA 16803-2276 | 2006-12-01 |
| 1063468395 | Heimer Eye Care Associates, P.C. | Specialist | 1700 Old Gatesburg Rd, Suite 300, State College, PA 16803-2276 | 2006-05-26 |
| 1972553873 | Jeffrey L Heimer | Specialist | 1700 Old Gatesburg Rd, Suite 300, State College, PA 16803-2276 | 2006-05-11 |
| 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 |
| 1528321015 | Mount Nittany Medical Center | Anesthesiology | 1800 E Park Ave, State College, PA 16803-6709 | 2012-06-19 |
| 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 UPENDRA N THAKER.
| 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.