Kelli A Pupo
PREMIER ANESTHESIA OF PENNSYLVANIA PC


Address: 2010 W Chester Pike, Suite 212, Havertown, PA 19083-2736
Phone: 4049411210

Kelli A Pupo (NPI# 1710984448, PAC ID# 5496641375) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).

Physician Overview

Nation Provider ID (NPI) 1710984448
PAC ID by PECOS 5496641375
Professional Enrollment ID I20040226000647
Full Name Kelli A Pupo
Organization Legal Name PREMIER ANESTHESIA OF PENNSYLVANIA PC
Address 2010 W Chester Pike
Suite 212
Havertown
PA 19083-2736
Phone Number 4049411210
Gender F
Credential CNA
Graduation Year 2001
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Group Practice PAC ID 2062696909
Number of Group Practice Members 36
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
390139 BRYN MAWR HOSPITAL
390081 DELAWARE COUNTY MEMORIAL HOSPITAL
390195 MAIN LINE HOSPITAL LANKENAU

Other Locations

Address Phone Organization
3300 Tillman Dr, Bensalem, PA 19020-2071 2152447400 UNITED ANESTHESIA SERVICES PC
130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 6105263000 UNITED ANESTHESIA SERVICES PC
2010 W Chester Pike, Suite 212, Havertown, PA 19083-2736 4049411210 PREMIER ANESTHESIA OF PENNSYLVANIA PC
255 W Lancaster Ave, Paoli, PA 19301-1763 6106481000 UNITED ANESTHESIA SERVICES PC
100 E Lancaster Ave, Wynewood, PA 19096-3450 6106452000 UNITED ANESTHESIA SERVICES PC

Organization Information

Organization Legal Name PREMIER ANESTHESIA OF PENNSYLVANIA PC
Physicians 41

Physicians with the same organization

Name Specialty Organization Address
Steven C Gumeiner Anesthesiology Premier Anesthesia of Pennsylvania PC 240 Geiger Rd, Philadelphia, PA 19115-1008
Catrina Denise Jones Certified Registered Nurse Anesthetist (crna) Premier Anesthesia of Pennsylvania PC 2701 Dekalb Pike, Norristown, PA 19401-1820
Shobha T Mani Anesthesiology Premier Anesthesia of Pennsylvania PC 2701 Dekalb Pike, Norristown, PA 19401-1820
Roman Brooks Certified Registered Nurse Anesthetist (crna) Premier Anesthesia of Pennsylvania PC 2701 Dekalb Pike, Norristown, PA 19401-1820
Robert J Golder Certified Registered Nurse Anesthetist (crna) Premier Anesthesia of Pennsylvania PC 2701 Dekalb Pike, Norristown, PA 19401-1820
Kimberly A Ziedonis Certified Registered Nurse Anesthetist (crna) Premier Anesthesia of Pennsylvania PC 2701 Dekalb Pike, Norristown, PA 19401-1820
Savita Kala Anesthesiology Premier Anesthesia of Pennsylvania PC 501 N Lansdowne Ave, Drexel Hill, PA 19026-1114
William Goldstein Anesthesiology Premier Anesthesia of Pennsylvania PC 2010 W Chester Pike, Suite 212, Havertown, PA 19083-2736
Thomas Frederick Boerner Anesthesiology Premier Anesthesia of Pennsylvania PC 501 N Lansdowne Ave, Drexel Hill, PA 19026-1114
Mue S Ngo Certified Registered Nurse Anesthetist (crna) Premier Anesthesia of Pennsylvania PC 2010 W Chester Pike, Suite 212, Havertown, PA 19083-2736

Office Location

Street Address 2010 W CHESTER PIKE
SUITE 212
City HAVERTOWN
State PA
Zip 19083-2736

Physicians in the same location

Name Specialty Organization Address
Anthony M Scalpato Podiatry 2010 W Chester Pike, 344 Anthony M Scalpato Dpm, Havertown, PA 19083-2738
Lin Liu Internal Medicine Everest Medical Care LLC 2010 W Chester Pike, Suite 448, Havertown, PA 19083-2741
Catherine Mcnally Clinical Social Worker Delaware County Professional Services, Inc 2010 W Chester Pike, Suite 314, Havertown, PA 19083-2737
John C Lockard Physical Therapy Penn Therapy Associates Inc 2010 W Chester Pike, Suite 450, Havertown, PA 19083-2741
William Goldstein Anesthesiology Premier Anesthesia of Pennsylvania PC 2010 W Chester Pike, Suite 212, Havertown, PA 19083-2736
Mark E Reitz Physical Therapy Penn Therapy Associates Inc 2010 W Chester Pike, Suite 450, Havertown, PA 19083-2741
Mue S Ngo Certified Registered Nurse Anesthetist (crna) Premier Anesthesia of Pennsylvania PC 2010 W Chester Pike, Suite 212, Havertown, PA 19083-2736
Marjorie Rubin Psychologist, Clinical Delaware County Professional Services, Inc 2010 W Chester Pike, Suite 314, Havertown, PA 19083-2737
Michael Baio Internal Medicine 2010 W Chester Pike, Suite 344, Havertown, PA 19083-2738
Stefano R Calvello Certified Registered Nurse Anesthetist (crna) Premier Anesthesia of Pennsylvania PC 2010 W Chester Pike, Suite 212, Havertown, PA 19083-2736
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Luther W Brady Radiation Oncology Luther W Brady Md and Assoc 2010 W Chester Pke, 115 Cyberknife Ctr of Phila, Havertown, PA 19083
Barry J Toyzer Optometry 154 W Eagle Rd, Havertown, PA 19083-1110
Charles L Zeiders Psychologist, Clinical 86 W Eagle Rd, Christian Counseling, Havertown, PA 19083-1425
Allegra M Inciardi Optometry Negrey Eye Associates 56 W Eagle Rd, Havertown, PA 19083-1447
Giulia Tinari Optometry 56 W Eagle Rd, Negrey Eye Associates, Havertown, PA 19083-1447
John N Negrey Jr. Ophthalmology Negrey Eye Associates 56 W Eagle Rd, Havertown, PA 19083-1447
Carl D Hamsher Internal Medicine 57 E Eagle Rd, Havertown, PA 19083-1535
Mona Camille Cardell Clinical Psychologist 1618 Rose Glen Rd, Havertown, PA 19083-1810
Anne Clark Mcfadden Physician Assistant Pennsylvania Urgent Care Centers, Pllc 115 W Eagle Rd, Havertown, PA 19083-2205
Bryan J Ohalloran Physical Therapy Pain Relief and Physical Therapy, Inc. 57 W Eagle Rd, Havertown, PA 19083-2234
Find all physicians in zip 19083

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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