Provider Demographics
NPI:1487462735
Name:NOMADIC ANESTHESIA PROFESSIONALS PLLC
Entity type:Organization
Organization Name:NOMADIC ANESTHESIA PROFESSIONALS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:LOFTUS
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:724-624-4485
Mailing Address - Street 1:407 VALLEYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3300
Mailing Address - Country:US
Mailing Address - Phone:724-624-4485
Mailing Address - Fax:
Practice Address - Street 1:150 N MEADOWS DR STE 120
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-8328
Practice Address - Country:US
Practice Address - Phone:412-748-1200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty