# PPC ANESTHESIA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pain Management Associates of NWPA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043557432
- **Authorized official:** DR. PAUL P CARNES MD (PRESIDENT)
- **Authorized official phone:** (814) 454-1530

## Contact information

- **Practice address:** 311 W 24TH ST, SUITE \#303, ERIE, PA 16502-2665
- **Practice address phone:** (814) 454-1530
- **Practice address fax:** (814) 452-7792
- **Mailing address:** 311 W 24TH ST, SUITE \#303, ERIE, PA 16502-2665
- **Mailing address phone:** (814) 454-1530
- **Mailing address fax:** (814) 452-7792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | MD420312 | PA | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | MD420312 | PA | — |
| 363L00000X | Nurse Practitioner | RN511115L | PA | — |
| 363LF0000X | Family Nurse Practitioner | RN511115L | PA | — |

## Other

- **Enumeration date:** 01/07/2013
- **Last updated:** 01/07/2013