# ELK REGIONAL PROFESSIONAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ERPG Anesthesia Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396732517
- **Authorized official:** MISS JAMIE LYNN SIMBECK (BUSINESS ADMINISTRATOR)
- **Authorized official phone:** (814) 788-8615

## Contact information

- **Practice address:** 763 JOHNSONBURG RD, ANESTHESIA DEPARTMENT, ST MARYS, PA 15857-3417
- **Practice address phone:** (814) 788-8580
- **Practice address fax:** (814) 788-8092
- **Mailing address:** 763 JOHNSONBURG RD, ANESTHESIA DEPARTMENT, ST MARYS, PA 15857-3417
- **Mailing address phone:** (814) 788-8000
- **Mailing address fax:** (814) 788-8042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 10/03/2005
- **Last updated:** 08/19/2010
