Individual provider Active NPI

Eleanor Nicolozakes, CRNA

  • Certified Registered Nurse Anesthetist
  • Zanesville, OH
National Provider Identifier
1003891938
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C0A.07262-NA Issued in OH
Practice address
2951 Maple Avenue
Zanesville, OH 43701-1406
Phone
(513) 672-3309
Fax
(513) 672-3323
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 223141 OH
Certified Registered Nurse Anesthetist 367500000X C0A.07262-NA OH Primary

Addresses

Primary practice location

2951 Maple Avenue
Zanesville, OH 43701-1406

Mailing address

945 Bethesda Drive
200B
Zanesville, OH 43701-1406
Phone (740) 455-4937

Other identifiers 2

IdentifierTypeStateIssuer
2452788MedicaidOH
P00071133OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101123000138 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022204577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Anesthesia Providers, LLCGroup PAC ID 0042558066, 54 clinicians
Insight Surgery and Laser Center, LLCGroup PAC ID 4082624747, 4 clinicians

Practice addresses (Care Compare)

2907 Bell St
Zanesville, OH 43701-1720
Phone (740) 455-6300

2951 Maple Ave
Zanesville, OH 43701-1406
Phone (740) 454-5000

3973 Northpointe Dr
Zanesville, OH 43701-7361
Phone (740) 452-8200

Hospital & facility affiliations

  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
223141OHMDCertified Registered Nurse Anesthetist
C0A.07262-NAOHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Surgery & Laser Center, LLC CurrentSince Mar 1, 2023 Accepting new patients
Genesis Anesthesia Providers, LLC CurrentSince Feb 1, 2019 Accepting new patients
Genesis Medical Group, LLC Past Accepting new patients

Locations

2907 Bell St
Zanesville, OH 43701
Phone (740) 455-6300

3973 Northpointe Dr
Zanesville, OH 43701
Phone (740) 452-8200

2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000

3973 Northpointe Dr
#1
Zanesville, OH 43701
Phone (740) 452-8200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1003891938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 BETHESDA DRIVE",
            "address_2": "200B",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011406",
            "telephone_number": "740-455-4937",
            "fax_number": "740-455-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 MAPLE AVENUE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011406",
            "telephone_number": "513-672-3309",
            "fax_number": "513-672-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLOZAKES",
        "first_name": "ELEANOR",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "223141",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "C0A.07262-NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2452788",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00071133",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.