Healthcare Provider Details

I. General information

NPI: 1962472191
Provider Name (Legal Business Name): INDIANA ANESTHESIA ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 HOSPITAL RD
INDIANA PA
15701-3629
US

IV. Provider business mailing address

1699 WASHINGTON RD STE 307
PITTSBURGH PA
15228-1629
US

V. Phone/Fax

Practice location:
  • Phone: 724-357-7000
  • Fax:
Mailing address:
  • Phone: 412-831-3744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RONALD L JASPER
Title or Position: PRESIDENT
Credential: DO
Phone: 412-831-3744