Basic Information
| Provider Information | |||||||||
| NPI: | 1538823141 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RC ANESTHESIA SERVICES LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1410 AUSTIN HILL RD | ||||||||
| Address2: | |||||||||
| City: | SHEFFIELD | ||||||||
| State: | PA | ||||||||
| PostalCode: | 163472430 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8147305588 | ||||||||
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| Practice Location | |||||||||
| Address1: | 10 TIMBERVIEW LN | ||||||||
| Address2: | |||||||||
| City: | RUSSELL | ||||||||
| State: | PA | ||||||||
| PostalCode: | 163454150 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8147575819 | ||||||||
| FaxNumber: | 8475755829 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/29/2021 | ||||||||
| LastUpdateDate: | 01/13/2022 | ||||||||
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| AuthorizedOfficialLastName: | COPLEY | ||||||||
| AuthorizedOfficialFirstName: | ROBIN | ||||||||
| AuthorizedOfficialMiddleName: | LEE | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8147305588 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | CRNA | ||||||||
| NPICertificationDate: | 01/13/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | N | 193400000X SINGLE SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered | 284300000X | Y | Hospitals | Special Hospital |
No ID Information.