# CENTRAL ANESTHESIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740395011
- **Authorized official:** DR. JOHN H JOHNSON MD (CEO)
- **Authorized official phone:** (814) 684-6374

## Contact information

- **Practice address:** 187 HOSPITAL DR, TYRONE, PA 16686-1808
- **Practice address phone:** (814) 684-6374
- **Practice address fax:** (814) 684-6320
- **Mailing address:** PO BOX 265, MARTINSBURG, PA 16662
- **Mailing address phone:** (814) 793-4833
- **Mailing address fax:** (814) 793-4834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | MD044867E | PA | — |
| 208VP0000X | Pain Medicine Physician | MD044867E | PA | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 12/05/2011