Individual provider Active NPI

Merwin Marcelo, RN, MSN, CRNA

  • Certified Registered Nurse Anesthetist
  • Lewis Center, OH
National Provider Identifier
1225284839
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN 254445 Issued in OH
Practice address
7022 Roespark Blvd
Lewis Center, OH 43035-8982
Phone
(740) 548-6078
NPI assigned
Aug 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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 RN 254445 OH Primary

Addresses

Primary practice location

7022 Roespark Blvd
Lewis Center, OH 43035-8982

Mailing address

7022 Roespark Blvd
Lewis Center, OH 43035-8982
Phone (740) 548-6078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090317000506 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688731714 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN 254445OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
New Albany Orthopedic Anesthesia LLC CurrentSince Nov 1, 2008 Accepting new patients
Pain Zero, LLC PastSince Feb 1, 2022 Accepting new patients

Locations

3600 Stelzer Rd
Ste 100
Columbus, OH 43219
Phone (614) 255-2900

5031 Forest Dr
Ste C
New Albany, OH 43054
Phone (614) 647-2526

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJGGCD

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.

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223596800000",
    "number": "1225284839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7022 ROESPARK BLVD",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358982",
            "telephone_number": "740-548-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7022 ROESPARK BLVD",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358982",
            "telephone_number": "740-548-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELO",
        "first_name": "MERWIN",
        "name_prefix": "Mr.",
        "credential": "RN, MSN, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN 254445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewis Center, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.