Basic Information
| Provider Information | |||||||||
| NPI: | 1255970653 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TAORMINA ANESTHESIA ASSOCIATES LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2111 SAINT ANN CMN | ||||||||
| Address2: | |||||||||
| City: | NORTH HUNTINGDON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 156423174 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7243966843 | ||||||||
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| Practice Location | |||||||||
| Address1: | 463 BRUSH RUN RD | ||||||||
| Address2: | |||||||||
| City: | GREENSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 156018705 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7246910354 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/02/2020 | ||||||||
| LastUpdateDate: | 02/04/2020 | ||||||||
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| AuthorizedOfficialLastName: | TAORMINA | ||||||||
| AuthorizedOfficialFirstName: | DARRIN | ||||||||
| AuthorizedOfficialMiddleName: | ANTHONY | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7243966843 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 02/04/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 001748606 | 05 | PA | MEDICAID |