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

Mount Nittany Medical Center

Organization Anesthesiology Physician · NPI 1528321015

Mount Nittany Medical Center is an Anesthesiology Physician in State College, Pennsylvania. Works from 2 locations. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
3

Practice location Address checks out

155 Wellness Way
State College, PA 16803-6797
Phone: (814) 231-7168
Fax: (814) 235-7381
Show map & directions

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

Additional practice locations (1)

  • 143 Hospital Dr Ste 103, State College, PA 16803-5500 — (814) 234-6750

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1528321015
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Roach — Cfo · (814) 234-6184
NPI enumeratedJune 19, 2012
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026
Mailing addressPo Box 411847, Boston, MA 02241-1834

Other providers in State College