Active NPI
Sed 8 Inc.
- Certified Registered Nurse Anesthetist
- Canton, OH
National Provider Identifier
1184767436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 048040
- Legal business name
- SED 8 INC.
- Practice address
- 1017 Field St NW
Canton, OH 44709-1635 - Phone
- (330) 493-8399
- Fax
- (216) 674-5231
- NPI assigned
- Feb 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Karen Pertl, CRNA
- Title
- Agent
- Phone
- (330) 493-8399
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 048040 | OH | Primary |
Addresses
Primary practice location
1017 Field St NW
Canton, OH 44709-1635
Mailing address
1017 Field St NW
Canton, OH 44709-1635
Phone (330) 493-8399
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2284086 | Medicaid | OH | |
| 272687622-00 | Other | OH | BWC# |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267056000000",
"number": "1184767436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 FIELD ST NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447091635",
"telephone_number": "330-493-8399",
"fax_number": "216-928-0141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 FIELD ST NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447091635",
"telephone_number": "330-493-8399",
"fax_number": "216-674-5231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SED 8 INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-15",
"last_updated": "2010-02-25",
"status": "A",
"authorized_official_last_name": "PERTL",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "AGENT",
"authorized_official_telephone_number": "330-493-8399",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "048040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2284086",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC#",
"identifier": "272687622-00",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.