ILUMINA LIFE CENTER, P.C. – NPI #1295101715
Anesthesiology

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

ILUMINA LIFE CENTER, P.C. is an anesthesiologist located in JOHNSTOWN, PA. NPPES has assigned the NPI number 1295101715 to ILUMINA LIFE CENTER, P.C. on August 19, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207LP2900X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Pain Medicine

The NPI profile was previously updated about 8 years ago on May 07, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ILUMINA LIFE CENTER, P.C. below.

NPI Profile for
ILUMINA LIFE CENTER, P.C.

NPI Number
1295101715
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ILUMINA LIFE CENTER, P.C.
Primary location
507 TIRE HILL RD
SUITE 100
JOHNSTOWN, PA 15905-7311
Phone: (814) 467-4055 Fax: (814) 262-9816
Mailing address
136 JAYCEE DR
SUITE 10
JOHNSTOWN, PA 15904-3650
Phone: (814) 467-4055 Fax: (814) 626-8161
Organization Subpart
No
Authorized Official
FLORENTINA MAYKO
CEO
Phone: (814) 467-4055
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207LP2900X
- Anesthesiology / Pain Medicine (Primary)
208VP0014X
- Pain Medicine / Interventional Pain Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.