MEDICARE: KEYSTONE ANESTHESIA CONSULTANTS, LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	208VP0000X	Pain Medicine Physician
2	208VP0014X	Interventional Pain Medicine Physician
3	207L00000X	Anesthesiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861450751
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEYSTONE ANESTHESIA CONSULTANTS, LTD

Provider Business Mailing Address
First Line	:	2000 OXFORD DR
Second Line	:	SUITE 303
City	:	BETHEL PARK
State	:	PA
Zip	:	15102-1827
Country	:	US
Telephone Number	:	412-942-5786
Fax Number	:

Provider Business Practice Location Address
First Line	:	80 LANDINGS DR STE 202
Second Line	:
City	:	WASHINGTON
State	:	PA
Zip	:	15301-9408
Country	:	US
Telephone Number	:	724-969-0191
Fax Number	:	724-941-9089

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMES MASSUCCI
Credential	:	M,D.
Telephone Number	:	412-942-5786

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	03/17/2018

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Directions to “KEYSTONE ANESTHESIA CONSULTANTS, LTD ” Practice Location

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