Active NPI
Janice M Just, CRNA
- Certified Registered Nurse Anesthetist
- Canton, OH
National Provider Identifier
1487601324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN137209
- Practice address
- 2600 Sixth Street SW
Ohio Hospital Based Physician Corp
Canton, OH 44710 - Phone
- (330) 363-7462
- Fax
- (330) 363-7679
- NPI assigned
- May 27, 2006
- Sex
- Female
- 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 | RN137209 | 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 |
|---|---|---|---|
| 0789151 | Medicaid | OH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN137209 | OH | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194048000000",
"number": "1487601324",
"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": "JUST",
"first_name": "JANICE",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2007-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN137209",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0789151",
"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 Nov 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.