Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Indiana Regional Medical Center

Organization Anesthesiology Physician · NPI 1265425359

Indiana Regional Medical Center is an Anesthesiology Physician in Indiana, Pennsylvania. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
2

Practice location Address checks out

835 Hospital Rd Anesthesiology Dept - Crna
Indiana, PA 15701-3629
Phone: (724) 357-7008
Fax: (724) 357-7414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X
Anesthesiology Physician Taxonomy 207L00000X

Record details

NPI number1265425359
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Ickowski — Chief Financial Officer · (724) 357-7008
NPI enumeratedAugust 24, 2005
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing address835 Hospital Rd, Po Box 788, Indiana, PA 15701-3629

Other providers in Indiana