MEDICARE: TRICOUNTY ANESTHESIA CORP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist

General Provider Information

NPI Number	:	1013436419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRICOUNTY ANESTHESIA CORP

Provider Business Mailing Address
First Line	:	2913 FREEPORT RD
Second Line	:
City	:	NATRONA HEIGHTS
State	:	PA
Zip	:	15065-1907
Country	:	US
Telephone Number	:	724-226-3900
Fax Number	:	724-224-4004

Provider Business Practice Location Address
First Line	:	2913 FREEPORT RD
Second Line	:
City	:	NATRONA HEIGHTS
State	:	PA
Zip	:	15065-1907
Country	:	US
Telephone Number	:	724-226-3900
Fax Number	:	724-224-4004

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOSEPH R FALCON JR.
Credential	:	MD
Telephone Number	:	724-226-3900

Provider Enumeration Date	:	09/18/2017
Last Update Date	:	07/21/2022

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Directions to “TRICOUNTY ANESTHESIA CORP ” Practice Location

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