St. Marys Anesthesiology Group, L.P.
Specialist in St Marys, PA. Organization (NPI-2).
NPI number1104867563
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1104867563
- Entity type
- Organization (NPI-2)
- Legal business name
- St. Marys Anesthesiology Group, L.P.
- Organization subpart
- No
- Enumeration date
- Jun 9, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
1376 Bucktail RdSt Marys, PA 15857-3212
Phone 814-834-7065
Mailing address
1376 Bucktail RdSt Marys, PA 15857-3212
Phone 814-834-7065
Authorized official
Shawna Pistner
Biller
8148347065
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