NPI Code Detail JSON Logo

1962516088 NPI number — MICHAEL KEVIN DANGELO CRNA

NPI Number: 1962516088
Health Care Provider/Practitioner: MICHAEL KEVIN DANGELO CRNA

Information about “1962516088” NPI (MICHAEL KEVIN DANGELO CRNA) exists in 1962516088 in HTML format HTML  |  1962516088 in plain Text format TXT  |  1962516088 in PDF (Portable Document Format) PDF  |  1962516088 in an XML format XML  formats.

NPI Number : 1962516088 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962516088",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DANGELO",
    "FirstName": "MICHAEL",
    "MiddleName": "KEVIN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CRNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "785 5TH AVENUE",
    "SecondLineMailingAddress": "SUITE 3",
    "MailingAddressCityName": "CHAMBERSBURG",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "17201-4232",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "717-263-9555",
    "MailingAddressFaxNumber": "717-217-4217",
    "FirstLinePracticeLocationAddress": "112 N. SEVENTH STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHAMBERSBURG",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "17201",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "717-267-3000",
    "PracticeLocationAddressFaxNumber": "717-217-4217",
    "EnumerationDate": "08/18/2006",
    "LastUpdateDate": "03/27/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": "APRN9174012",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "RN352303L",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207L00000X",
          "TaxonomyName": "Anesthesiology Physician",
          "LicenseNumber": "ARNP9174012",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "493980",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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