| Concetta M Vivian, CRNA | |
|
5100 W Tilghman St Ste 315, Allentown, PA 18104-9166 | |
| (610) 395-4044 | |
| (610) 395-5693 |
| Full Name | Concetta M Vivian |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 5100 W Tilghman St Ste 315, Allentown, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043271372 | NPI | - | NPPES |
| P00237876 | Other | PA | RAILROAD MC PROV# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN239821L (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN239821L (Pennsylvania) | Primary |
| Entity Name | Lehigh Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508842246 PECOS PAC ID: 1759276827 Enrollment ID: O20040218000049 |
| Entity Name | College Heights Endoscopy Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1780686808 PECOS PAC ID: 2062468507 Enrollment ID: O20050328000589 |
| Entity Name | College Heights Endoscopy Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578525515 PECOS PAC ID: 2062468507 Enrollment ID: O20050421000684 |
| Entity Name | Rgal Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699055251 PECOS PAC ID: 7517130602 Enrollment ID: O20111107000246 |
| Entity Name | Northstar Anesthesia Of Pennsylvania Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700218989 PECOS PAC ID: 5092941161 Enrollment ID: O20131119001358 |
| Mailing Address | Practice Location Address |
|---|---|
| Concetta M Vivian, CRNA Po Box 783497, Philadelphia, PA 19178-3497 Ph: (610) 395-4044 | Concetta M Vivian, CRNA 5100 W Tilghman St Ste 315, Allentown, PA 18104-9166 Ph: (610) 395-4044 |
Marissa Romo, SRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 College Dr, Allentown, PA 18104 Phone: 610-437-4471 | |
Mark T. Peleschak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5000 Tilghman St, Ste 240, Allentown, PA 18104 Phone: 610-395-4044 Fax: 610-395-5693 | |
Ronald S Horvat, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 24 S 18th St, Allentown, PA 18104 Phone: 610-628-8372 Fax: 610-628-8648 | |
Susan Elizabeth Abrams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3147 College Heights Blvd, College Heights Endoscopy Center, Allentown, PA 18104 Phone: 610-841-2432 Fax: 610-841-4433 | |
Krisztina Fazio, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103 Phone: 610-402-8000 | |
Lisa Verbosh, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1245 S Cedar Crest Blvd Ste 301, Allentown, PA 18103 Phone: 610-402-8896 Fax: 610-402-9029 | |
Mrs. Gina Marie Chiplonia-swircek, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5100 W Tilghman St Ste 315, Allentown, PA 18104 Phone: 610-395-4044 Fax: 610-395-5693 |