Organization
STEEL CITY ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS A. DEASCENTIS MBA (ADMINISTRATOR)
(330) 286-5330
Entity
Organization
Contact information
Practice address
1307 FEDERAL ST STE 101, PITTSBURGH, PA 15212-4769
(412) 231-6550
(412) 231-6697
Mailing address
4135 BOARDMAN CANFIELD RD STE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
088276
MEDICARE PTAN
PA
05
—
1014600170001
—
PA
05
—
2681254
—
OH
01
—
9350381
MEDICARE PTAN
OH
Enumeration date
05/31/2006
Last updated
11/04/2019
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