Active NPI
Judy A Daus, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Sandusky, OH
National Provider Identifier
1104885540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN109263
- Practice address
- 1101 Decatur St
Sandusky, OH 44870-3335 - Phone
- (918) 543-1020
- Fax
- (918) 543-2103
- NPI assigned
- Mar 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN109263 | OH | Primary |
Addresses
Primary practice location
1101 Decatur St
Sandusky, OH 44870-3335
Mailing address
PO Box 190
Inola, OK 74036-0190
Phone (918) 543-1020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371420179003 | Other | OH | MEDICAL MUTUAL |
| 000000237364 | Other | OH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN109263 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandusky Bay Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Mercy Health - Tiffin Hospital LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Tiffin, OH
- NPI 1215951645
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Sandusky, OH
- NPI 1750390274
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104885540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"city": "INOLA",
"state": "OK",
"postal_code": "740360190",
"telephone_number": "918-543-1020",
"fax_number": "918-543-2103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 DECATUR ST",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448703335",
"telephone_number": "918-543-1020",
"fax_number": "918-543-2103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUS",
"first_name": "JUDY",
"middle_name": "A",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN109263",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL",
"identifier": "371420179003",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000237364",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sandusky, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.