Dominic Garuccio, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN204374-L Issued in PA

Practice address

1000 Dutch Ridge Rd
Beaver, PA 15009-9727

Phone

(724) 773-4621

Fax

(724) 773-4696

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Beaver Anesthesia Associates, Inc.

  • Anesthesiology Physician
  • Beaver, PA
  • NPI 1841201761
  NPD (past)
• Valley Medical Facilities Inc

  • General Acute Care Hospital
  • Sewickley, PA
  • NPI 1588770416
  NPD (past)
• Western Pennsylvania Anesthesia Associates, LTD.

  • Pain Medicine (Anesthesiology) Physician
  • Pittsburgh, PA
  • NPI 1386639847
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1427165828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 DUTCH RIDGE RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099727",
            "telephone_number": "724-773-4621",
            "fax_number": "724-773-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DUTCH RIDGE RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099727",
            "telephone_number": "724-773-4621",
            "fax_number": "724-773-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARUCCIO",
        "first_name": "DOMINIC",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN204374-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Gagne, M.D.
• Megan Nicole Gallo, CRNP
• Leonard Ira Ganz, MD
• Ellen Garibaldi, M.D.
• Alexa Garrison, MD
• Christopher John Germond, D.O.
• Janie Gibson, M.S.ED.
• Jill Marie Gilarno, SLP
• Amber Gilbert
• Colleen Gilliland, CRNP

• Certified Registered Nurse Anesthetist in Beaver, PA
• Providers in Beaver, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.