Active NPI
John Paul Puskar, CRNA
- Certified Registered Nurse Anesthetist
- Canton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- C0A04309NA
- Practice address
- 2600 Sixth Street SW
Ohio Hospital Based Physician Corp
Canton, OH 44710 - Phone
- (330) 363-7462
- Fax
- (330) 363-7679
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | C0A04309NA | OH | Primary |
Addresses
Primary practice location
2600 Sixth Street SW
Ohio Hospital Based Physician Corp
Canton, OH 44710
Mailing address
2600 Sixth Street SW
Ohio Hospital Based Physician Corp
Canton, OH 44710
Phone (330) 363-7462
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0935260 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7630 Southern Blvd
Youngstown, OH 44512-5633
Phone (330) 729-8000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.94 of 100
- Quality
- 71.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0A04309NA | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triad Health Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Surgery Center at Southwoods, LLC | Past | Accepting new patients | |
| Anesthesia for Children | Past | Accepting new patients | |
| Ohio Hospital-Based Physician Corporation | Past | Accepting new patients | |
| Pain Center of Western Pennsylvania, Inc | Past | Accepting new patients | |
| Falls Anesthesia Group Inc | Past | Accepting new patients | |
| Ohio Hospital-Based Physician Corporation | Past | Accepting new patients |
Locations
100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828
250 Debartolo Pl
Ste 1000
Youngstown, OH 44512
Phone (330) 314-9100
7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480
7630 Southern Blvd
Youngstown, OH 44512
Phone (330) 729-8000
Organizations & group practices 7
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.
-
- Plastic Surgery Physician
- Youngstown, OH
- NPI 1588925457
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Akron, OH
- NPI 1841244944
-
- Anesthesiology Physician
- Cuyahoga Falls, OH
- NPI 1821042342
-
- Specialist
- North Canton, OH
- NPI 1205864337
-
- Specialist
- Canton, OH
- NPI 1700818986
-
- Special Hospital
- Youngstown, OH
- NPI 1740398890
-
- Pain Medicine (Anesthesiology) Physician
- Hermitage, PA
- NPI 1801804612
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Youngstown, OH
- NPI 1740398890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193356800000",
"number": "1427092105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 SIXTH STREET SW",
"address_2": "OHIO HOSPITAL BASED PHYSICIAN CORP",
"city": "CANTON",
"state": "OH",
"postal_code": "44710",
"telephone_number": "330-363-7462",
"fax_number": "330-363-7679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 SIXTH STREET SW",
"address_2": "OHIO HOSPITAL BASED PHYSICIAN CORP",
"city": "CANTON",
"state": "OH",
"postal_code": "44710",
"telephone_number": "330-363-7462",
"fax_number": "330-363-7679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUSKAR",
"first_name": "JOHN",
"middle_name": "PAUL",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2007-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "C0A04309NA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0935260",
"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 Oct 26, 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.