Basic Information
| Provider Information | |||||||||
| NPI: | 1134718885 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | GSC ANESTHESIA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 401 COMMERCE ST STE 600 | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372192518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153456900 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2000 GRANT AVE STE 101 | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191154378 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2159926000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/15/2021 | ||||||||
| LastUpdateDate: | 01/15/2021 | ||||||||
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| AuthorizedOfficialLastName: | PALIATH | ||||||||
| AuthorizedOfficialFirstName: | SEBASTIAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT, BOARD OF MANAGERS | ||||||||
| AuthorizedOfficialTelephone: | 6153456900 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 01/15/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | Y | 193400000X SINGLE SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.