Organization Active NPI

Sed 8 Inc.

  • Certified Registered Nurse Anesthetist
  • Canton, OH
National Provider Identifier
1184767436
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
048040 Issued in OH
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

Updated by the provider on Feb 25, 2010

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)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2284086MedicaidOH
272687622-00OtherOHBWC#

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.