Active NPI
Charles R Janovsky, CRNA
- Certified Registered Nurse Anesthetist
- Laurium, MI
National Provider Identifier
1508910258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 47000459
- Practice address
- 205 Osceola St
Laurium, MI 49913-2134 - Phone
- (906) 337-6591
- Fax
- (906) 337-6597
- NPI assigned
- Jan 22, 2007
- 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 | 47000459 | MI | Primary |
Addresses
Primary practice location
205 Osceola St
Laurium, MI 49913-2134
Mailing address
205 Osceola St
Laurium, MI 49913-2134
Phone (906) 337-6591
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4078137 | Medicaid | MI | |
| 4078137 | Other | MI | UPHP |
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
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47000459 | MI | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224201600000",
"number": "1508910258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 OSCEOLA ST",
"city": "LAURIUM",
"state": "MI",
"postal_code": "499132134",
"telephone_number": "906-337-6591",
"fax_number": "906-337-6597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 OSCEOLA ST",
"city": "LAURIUM",
"state": "MI",
"postal_code": "499132134",
"telephone_number": "906-337-6591",
"fax_number": "906-337-6597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANOVSKY",
"first_name": "CHARLES",
"middle_name": "R",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2008-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "47000459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4078137",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPHP",
"identifier": "4078137",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laurium, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.