Individual provider Active NPI

Brian Klonowski, RN

  • Critical Care Medicine Registered Nurse
  • Parma, OH
National Provider Identifier
1366691404
Registry record updated Sep 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
RN.318035 Issued in OH
Practice address
8300 Kenton Ave
Parma, OH 44129-4328
Phone
(440) 887-0119
NPI assigned
Sep 13, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN.318035 OH Primary

Addresses

Primary practice location

8300 Kenton Ave
Parma, OH 44129-4328

Mailing address

8300 Kenton Ave
Parma, OH 44129-4328
Phone (440) 887-0119

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.318035OHMDCritical Care Medicine Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1221264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221264000000",
    "number": "1366691404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 KENTON AVE",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441294328",
            "telephone_number": "440-887-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 KENTON AVE",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441294328",
            "telephone_number": "440-887-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLONOWSKI",
        "first_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-13",
        "last_updated": "2008-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "OH",
            "license": "RN.318035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2008; 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.