Individual provider Active NPI

Gloria Harris-Isom, CRNA

  • Certified Registered Nurse Anesthetist
  • Cleveland, OH
National Provider Identifier
1003916305
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN173726 Issued in OH
Practice address
6355 Pearl Rd
Cleveland, OH 44130-3000
Phone
(440) 886-1010
NPI assigned
Sep 25, 2006
Last updated
Feb 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN173726 OH Primary

Addresses

Primary practice location

6355 Pearl Rd
Cleveland, OH 44130-3000

Mailing address

6355 Pearl Rd
Cleveland, OH 44130-3000
Phone (440) 886-1010

Other practice location 1

1 Akron General Ave
Akron, OH 44307-2432
Phone (330) 344-7040

Other identifiers 1

IdentifierTypeStateIssuer
0164978MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040518000196 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981694270 Reassigns benefits to 3 organizations
I20191121001089 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981694270 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN173726OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Amsurg Port Orange Anesthesia, LLC CurrentSince Jan 11, 2022 Accepting new patients
Amsurg Rockledge FL Anesthesia LLC CurrentSince Apr 1, 2025 Accepting new patients
Amsurg Melbourne Anesthesia LLC CurrentSince Oct 16, 2019 Accepting new patients
Northern Ohio Eye Center, Inc. CurrentSince Jul 16, 2019 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 4, 2023 Accepting new patients
Legacy Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince May 5, 2020 Accepting new patients
Anesthesia Professional Services of Brevard LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Hollywood Diagnostic Center Inc Past Accepting new patients
Anesthesia Associates of Northern Ohio, Inc. PastSince Jan 1, 1996 Accepting new patients
Elyria Anesthesia Incorporated PastSince May 17, 1993 Accepting new patients
Contemporary Cosmetic Surgery, Inc. PastSince May 5, 2020 Accepting new patients
Anesthesia Associates, PLL Past Accepting new patients

Locations

1401 S Apollo Blvd
Ste B
Melbourne, FL 32901
Phone (321) 725-5151

3635 Clyde Morris Blvd
Ste 500
Port Orange, FL 32129
Phone (386) 760-8151

1974 US Highway 1
Ste 102
Rockledge, FL 32955
Phone (321) 504-4440

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

5035 Mayfield Rd
Ste 101
Lyndhurst, OH 44124
Phone (216) 923-0666

6355 Pearl Rd
Parma Heights, OH 44130
Phone (440) 886-1010

1A Burton Hills Blvd
Nashville, TN 37215
Phone (615) 263-5579

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1003916305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 PEARL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303000",
            "telephone_number": "440-886-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 PEARL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303000",
            "telephone_number": "440-886-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Akron General Ave",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443072432",
            "country_code": "US",
            "telephone_number": "330-344-7040",
            "fax_number": "330-344-1714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS-ISOM",
        "first_name": "GLORIA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN173726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164978",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.