Organization
ELK REGIONAL PROFESSIONAL GROUP, INC.
Active
Other names
ERPG Anesthesia Services
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JAMIE LYNN SIMBECK (BUSINESS ADMINISTRATOR)
(814) 788-8615
Entity
Organization
Contact information
Practice address
763 JOHNSONBURG RD, ANESTHESIA DEPARTMENT, ST MARYS, PA 15857-3417
(814) 788-8580
(814) 788-8092
Mailing address
763 JOHNSONBURG RD, ANESTHESIA DEPARTMENT, ST MARYS, PA 15857-3417
(814) 788-8000
(814) 788-8042
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018592850034
—
PA
01
—
1302940
HIGHMARK ASSIGNMENT
PA
Enumeration date
10/03/2005
Last updated
08/19/2010
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