Provider Demographics
NPI:1386053064
Name:JR ANESTHESIA CARE
Entity type:Organization
Organization Name:JR ANESTHESIA CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:YENTZER
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:717-226-1665
Mailing Address - Street 1:247 YORK RD
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-3157
Mailing Address - Country:US
Mailing Address - Phone:717-245-9999
Mailing Address - Fax:717-245-2828
Practice Address - Street 1:247 YORK RD
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-3157
Practice Address - Country:US
Practice Address - Phone:717-245-9999
Practice Address - Fax:717-245-2828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-07
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty