Active NPI
Kristen Porvasnik
- Anesthesiologist Assistant
- Independence, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 67.000347
- Practice address
- 6701 Rockside Rd Ste 200
Independence, OH 44131-2316 - Phone
- (216) 674-5230
- Fax
- (216) 674-5231
- NPI assigned
- Jul 23, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 67.000347 | OH | Primary |
Addresses
Primary practice location
6701 Rockside Rd Ste 200
Independence, OH 44131-2316
Mailing address
6701 Rockside Rd Ste 200
Independence, OH 44131-2316
Phone (216) 674-5230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1320 Mercy Dr NW
Canton, OH 44708-2614
Phone (330) 489-1145
8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950
9500 Euclid Ave
Cleveland, OH 44195-0001
Hospital & facility affiliations
- Mercy Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.79 of 100
- Quality
- 71.01
- Improvement activities
- 40
- Cost
- 82.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67.000347 | OH | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Ohio Anesthesia Group, Inc | Current | Accepting new patients |
Locations
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
6701 Rockside Rd
Ste 200
Independence, OH 44131
Phone (216) 674-5230
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Anesthesiology Physician
- Canton, OH
- NPI 1639348113
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Canton, OH
- NPI 1366433195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1497308944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 ROCKSIDE RD STE 200",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312316",
"telephone_number": "216-674-5230",
"fax_number": "216-674-5231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 ROCKSIDE RD STE 200",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312316",
"telephone_number": "216-674-5230",
"fax_number": "216-674-5231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORVASNIK",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-23",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "OH",
"license": "67.000347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.