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

Q: What is Main Line Gastroenterology Associates, PC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

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: August 09, 2026.

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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

Phone(610) 644-6755

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

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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.

TALIA LAGRAVINESE CRNP

Nurse Practitioner (Acute Care)

255 W LANCASTER AVE
PAOLI, PA 19301

Chester County (484) 565-1510

EMILY JANE DAMICO

Physician Assistant

255 W LANCASTER AVE
PAOLI, PA 19301

Chester County (215) 429-1003

MRS. LYNN B WOLFF CRNP

Nurse Practitioner (Acute Care)

255 W LANCASTER AVE
PAOLI, PA 19301

Chester County (484) 565-1600

MARY ANITA DILLOWAY MD

Pediatrics

255 W LANCASTER AVE, MOB 1 STE 101
PAOLI, PA 19301

Chester County (610) 644-9380

DR. SCOTT A. OLEX D.O.

Hospitalist

255 W LANCASTER AVE
PAOLI, PA 19301

Chester County (484) 565-1510

DR. JANIS ZVARGULIS M.D.

Anesthesiology

255 W LANCASTER AVE
PAOLI, PA 19301

Chester County (484) 565-1020

PAOLI PEDIATRICS PC

Pediatrics

255 W LANCASTER AVE, MOB 1 SUITE 101
PAOLI, PA 19301

Chester County (610) 644-9380

ADVOCARE, LLC

Hospitalist

255 W LANCASTER AVE
PAOLI, PA 19301

Chester County (610) 308-5755

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Main Line Gastroenterology Associates, PC's NPI number?

The NPI number for Main Line Gastroenterology Associates, PC is 1053557082. It was assigned to this organization in the NPPES registry on December 22, 2008.

Where is Main Line Gastroenterology Associates, PC located?

Main Line Gastroenterology Associates, PC is located at 255 W Lancaster Ave Paoli Medical Building, Suite 332, Paoli, PA 19301. The listed phone number is (610) 644-6755.

What is Main Line Gastroenterology Associates, PC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Main Line Gastroenterology Associates, PC was last updated on December 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.