Michael Thomas Souhrada, | |
169 Martin Ave, Ephrata, PA 17522 | |
(717) 738-6618 | |
(717) 738-6646 |
Full Name | Michael Thomas Souhrada |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 8 Years |
Location | 169 Martin Ave, Ephrata, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205299591 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN599881 (Pennsylvania) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN599881 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellspan Ephrata Community Hospital | Ephrata, PA | Hospital |
York Hospital | York, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellspan Medical Group | 1951213115 | 1966 |
Orthopedic Assoc Of Lancaster Ltd | 8527041987 | 80 |
Entity Name | Anesthesia Associates Of York Pa Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205812260 PECOS PAC ID: 2769394949 Enrollment ID: O20031105000332 |
Entity Name | Wellspan Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750480299 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
Entity Name | Orthopedic Assoc Of Lancaster Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609835933 PECOS PAC ID: 8527041987 Enrollment ID: O20040608001128 |
Entity Name | Ephrata Community Hospital |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1063559912 PECOS PAC ID: 4981514445 Enrollment ID: O20091231000345 |
Mailing Address | Practice Location Address |
---|---|
Michael Thomas Souhrada, 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405 | Michael Thomas Souhrada, 169 Martin Ave, Ephrata, PA 17522 Ph: (717) 738-6618 |
Larry Dean Mellott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-738-6618 Fax: 717-738-6646 | |
Michele Deiterich, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 Fax: 717-721-5861 | |
Mr. Jason Michael Dulimba, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 | |
Ms. Raquel Vanessa Wiker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 | |
Steven C Vandevander, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 Fax: 717-721-5861 | |
Mrs. Kathleen Hill, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 | |
Larry Cicero, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 Fax: 717-733-0876 |