Jenny L Jacobs Buza, CRNA

Primary specialty

SpecialistTaxonomy code 174400000X

License

133113 Issued in OH

Practice address

2409 Cherry St #305
Toledo, OH 43608

Phone

(419) 251-3740

Fax

(419) 251-3859

NPI assigned

Jun 7, 2006

Last updated

Aug 29, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northstar Anesthesia of Ohio LLC

  • Anesthesiology Physician
  • Springfield, OH
  • NPI 1417276429
  Medicare reassignment NPD
• Southwest Ohio Anesthesia Consultants LLC

  • Anesthesiology Physician
  • Cincinnati, OH
  • NPI 1588645188
  Medicare reassignment NPD
• Anesthesia & Intensive Care Consultants,Inc.

  • Anesthesiology Physician
  • Batavia, OH
  • NPI 1164859013
  NPD

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1447290788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4253 KINGSMOOR DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436133711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 CHERRY ST #305",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43608",
            "telephone_number": "419-251-3740",
            "fax_number": "419-251-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS BUZA",
        "first_name": "JENNY",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "133113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0756249",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vina B Jackson
• Zaria Jackson
• Karim Christopher Jacob, MD
• Moshir Jacob, MD
• Nikhita Jacob, OD
• Denisha Jacobs
• Diana Jacobs, CDCA
• George D Jacobs, MD
• Jennifer Nicole Jacobs
• Jocynda Yvonne Jacobs

• Specialist in Toledo, OH
• Providers in Toledo, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.