Provider Demographics
NPI:1043556285
Name:ECLIPSE ANESTHESIA ASSOCIATES PLLC
Entity type:Organization
Organization Name:ECLIPSE ANESTHESIA ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:W
Authorized Official - Last Name:MERRIHEW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-937-5947
Mailing Address - Street 1:PO BOX 95000-5460
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19195-5460
Mailing Address - Country:US
Mailing Address - Phone:412-937-5947
Mailing Address - Fax:770-237-1492
Practice Address - Street 1:2001 MARCUS AVE
Practice Address - Street 2:STE N18
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-2061
Practice Address - Country:US
Practice Address - Phone:516-775-7770
Practice Address - Fax:770-237-1492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-17
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty