Active NPI
Crisologo Rosel Gozo, C.R.N.A
- Certified Registered Nurse Anesthetist
- Merrillville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28123203A
- Practice address
- 8701 Broadway
Merrillville, IN 46410-7035 - Phone
- (219) 738-4929
- NPI assigned
- Jun 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 28123203A | IN | Primary |
Addresses
Primary practice location
8701 Broadway
Merrillville, IN 46410-7035
Mailing address
873 Alderbrook Court
Crown Point, IN 46307
Phone (219) 661-1057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone (219) 942-0551
Hospital & facility affiliations
- St Mary Medical Center Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nwi Medical Associates , LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munster Medical Research Foundation Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St. Catherine Hospital Inc. | Current | Accepting new patients | |
| Munster Medical Research Foundation, Inc. | Current | Accepting new patients | |
| Lakeshore Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St Catherine Hospital Inc | Current | Accepting new patients | |
| St Catherine Hospital Inc | Current | Accepting new patients | |
| American Anesthesiology of Illinois, LLC | Past | Accepting new patients | |
| Anesthesia Consultants of Indiana, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Methodist Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Crawford Avenue Anesthesia Provider Services Urbana, LLC | Past | Accepting new patients |
Locations
4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700
1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551
901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443
Organizations & group practices 11
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.
-
- Anesthesiology Physician
- Hobart, IN
- NPI 1548210560
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Munster, IN
- NPI 1760182554
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- East Chicago, IN
- NPI 1396847596
-
- Anesthesiology Physician
- Munster, IN
- NPI 1982653044
Nurse Anesthetist, Certified Registered
-
- Community/Retail Pharmacy
- Munster, IN
- NPI 1235209826
-
- Anesthesiology Physician
- East Chicago, IN
- NPI 1649346537
-
- Community/Retail Pharmacy
- East Chicago, IN
- NPI 1568806057
-
- Anesthesiology Physician
- Merrillville, IN
- NPI 1326224270
-
- Anesthesiology Physician
- Merrillville, IN
- NPI 1821045410
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pittsburgh, PA
- NPI 1417974494
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Urbana, IL
- NPI 1134566615
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477598381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "873 ALDERBROOK COURT",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "46307",
"telephone_number": "219-661-1057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8701 BROADWAY",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464107035",
"telephone_number": "219-738-4929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOZO",
"first_name": "CRISOLOGO",
"middle_name": "ROSEL",
"credential": "C.R.N.A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28123203A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.