Individual
ADA SPISAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
325 S BELMONT ST, YORK, PA 17403-2608
(717) 843-8623
Mailing address
3998 FAIR RIDGE DR, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1349A
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
RN250322L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000378010
ANTHEM PROVIDER #
KY
01
—
030670000
BLACK LUNG
KY
01
—
214953VKC
NOVITAS MEDICARE
PA
05
—
74013491
—
KY
01
—
C20882
CUMBERLAND HEALTHCARE INC
KY
01
—
P00294276
RRMCR
KY
01
—
P01312473
RAILROAD MEDICARE
PA
Enumeration date
02/14/2006
Last updated
04/09/2015
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