Provider Demographics
NPI:1609170034
Name:PARAMOUNT ANESTHESIA ASSOCIATES, LLC
Entity type:Organization
Organization Name:PARAMOUNT ANESTHESIA ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:A
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:412-922-0375
Mailing Address - Street 1:10096 MANSION DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-6406
Mailing Address - Country:US
Mailing Address - Phone:412-922-0375
Mailing Address - Fax:
Practice Address - Street 1:10096 MANSION DR
Practice Address - Street 2:SUITE C
Practice Address - City:GIBSONIA
Practice Address - State:PA
Practice Address - Zip Code:15044-6406
Practice Address - Country:US
Practice Address - Phone:412-922-0375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-28
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty