Basic Information
Provider Information
NPI: 1295846046
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINNEY
FirstName: MICHAEL
MiddleName: DAVID
NamePrefix: MR.
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1245 S CEDAR CREST BLVD STE 301
Address2:  
City: ALLENTOWN
State: PA
PostalCode: 181036258
CountryCode: US
TelephoneNumber: 6104029099
FaxNumber: 6104029029
Practice Location
Address1: 1200 S CEDAR CREST BLVD
Address2:  
City: ALLENTOWN
State: PA
PostalCode: 181036202
CountryCode: US
TelephoneNumber: 6104029099
FaxNumber: 6104029029
Other Information
ProviderEnumerationDate: 08/31/2006
LastUpdateDate: 03/25/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN506001LPAN Nursing Service ProvidersRegistered Nurse 
367500000X053591PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

ID Information
IDTypeStateIssuerDescription
158401801PAGATEWAYOTHER
991245501PAAETNAOTHER
199816701PAFIRST PRIORITYOTHER
102780191000105PA MEDICAID
5007381501PACAPITAL ADVANTAGEOTHER
9032401PAGEISINGEROTHER
332045700001PAIBCOTHER
1187938401PACAQHOTHER
199816701PAHIGHMARKOTHER


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