Active NPI
Odeed Geismar, CRNA
- Certified Registered Nurse Anesthetist
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 000648
- Practice address
- 1423 Chapel St
New Haven, CT 06511 - Phone
- (203) 865-3852
- Fax
- (203) 865-2983
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- 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 | 000648 | CT | Primary |
Addresses
Primary practice location
1423 Chapel St
New Haven, CT 06511
Mailing address
173 Westwood Rd
New Haven, CT 06515
Phone (203) 535-1090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Commerce Park
Milford, CT 06460-3551
Phone (203) 227-1324
4 Northwestern Dr
Bloomfield, CT 06002-3444
Phone (860) 243-8440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000648 | CT | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Integrated Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Wilton Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
4 Northwestern Dr
Bloomfield, CT 06002
Phone (860) 243-2969
84 N Main St
Bldg 2
Branford, CT 06405
Phone (203) 407-1500
80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249
30 Commerce Park
Milford, CT 06460
Phone (203) 878-0479
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151
280 State St
North Haven, CT 06473
Phone (203) 288-2886
2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375
400 10th St E
Waconia, MN 55387
Organizations & group practices 4
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.
-
- Certified Registered Nurse Anesthetist
- Bloomfield, CT
- NPI 1588696173
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Shelton, CT
- NPI 1881636397
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- New Haven, CT
- NPI 1205822236
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194832089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 WESTWOOD RD",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06515",
"telephone_number": "203-535-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1423 CHAPEL ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06511",
"telephone_number": "203-865-3852",
"fax_number": "203-865-2983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEISMAR",
"first_name": "ODEED",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "000648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
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.
- 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.