MAIN LINE GASTROENTEROLOGY ASSOCIATES, PC
NPI 1053557082
Nurse Anesthetist, Certified Registered in Paoli, PA

Active since December 22, 2008
255 W LANCASTER AVE, PAOLI MEDICAL BUILDING, SUITE 332, PAOLI, PA 19301(610) 644-6755(610) 647-2063 Get Directions Write a Review

NPPES record last updated: December 22, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Main Line Gastroenterology Associates, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAIN LINE GASTROENTEROLOGY ASSOCIATES, PC (NPI 1053557082) is a healthcare organization registered as a nurse anesthetist, certified registered in Paoli, Pennsylvania and active in the NPI registry since December 2008. The organization lists Ellie Suder, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1053557082
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameMAIN LINE GASTROENTEROLOGY ASSOCIATES, PC
Location Address255 W LANCASTER AVE, PAOLI MEDICAL BUILDING, SUITE 332Paoli, PA 19301-1763
Mailing Address255 W Lancaster Ave, Paoli Medical Building, Suite 332Paoli, PA 19301-1763 · (610) 644-6755 · Fax (610) 647-2063
Fax(610) 647-2063
Organization SubpartNo
Authorized OfficialEllie SuderBilling Manager · (215) 723-2333
Enumeration DateDecember 22, 2008
NPI 1053557082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

255 W LANCASTER AVE, Paoli, PA 19301

Other Identifiers 1

Medicare PIN557861PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
255 W LANCASTER AVE, MOB II SUITE 121
PAOLI, PA 19301
Emergency Medicine
255 W LANCASTER AVE
PAOLI, PA 19301
Emergency Medicine
255 W LANCASTER AVE
PAOLI, PA 19301
Emergency Medicine
255 W LANCASTER AVE
PAOLI, PA 19301
Emergency Medicine
255 W LANCASTER AVE
PAOLI, PA 19301
Emergency Medicine
255 W LANCASTER AVE
PAOLI, PA 19301
Emergency Medicine
255 W LANCASTER AVE
PAOLI, PA 19301
Internal Medicine
255 W LANCASTER AVE, 120 PAOLI MOB II
PAOLI, PA 19301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053557082, enumerated as an "organization" on December 22, 2008.

The provider is located at 255 W LANCASTER AVE PAOLI MEDICAL BUILDING, SUITE 332 PAOLI, PA 19301 and the phone number is (610) 644-6755.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.