Active NPI
Tina Perebzak, CRNA
- Certified Registered Nurse Anesthetist
- Independence, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NA-06677
- Practice address
- 6000 West Creek Rd
Ste 10
Independence, OH 44131-2182 - Phone
- (216) 986-1309
- Fax
- (216) 986-1191
- NPI assigned
- Jun 23, 2005
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NA-06677 | OH | Primary |
Addresses
Primary practice location
6000 West Creek Rd
Ste 10
Independence, OH 44131-2182
Mailing address
6000 West Creek Rd
Ste 10
Independence, OH 44131-2182
Phone (216) 986-1309
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000328397 | Other | OH | ANTHEM PIN |
| 2296037 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
405 W Grand Ave
Dayton, OH 45405-7538
Phone (937) 226-3200
Hospital & facility affiliations
- Summa Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA-06677 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Wooster Pain and Anesthesia Center LLC | Current | Accepting new patients | |
| Northstar Anesthesia of Ohio LLC | Current | Accepting new patients | |
| Dayton Anesthesia & Pain Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| South Central Ohio Anesthesia LLC | Current | Accepting new patients | |
| Premier Anesthesia of Sandusky, Inc | Past | Accepting new patients | |
| Anesthesiology Associates of Akron, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia for Children | Past | Accepting new patients | |
| Mercy Anesthesiologists Inc | Past | Accepting new patients | |
| Professional Anesthesia Service Inc | Past | Accepting new patients | |
| Falls Anesthesia Group Inc | Past | Accepting new patients |
Locations
525 E Market St
Akron, OH 44304
Phone (330) 375-6350
4319 Executive Cir NW
Canton, OH 44718
Phone (330) 526-0530
405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200
601 State Route 664 N
Ste 114
Logan, OH 43138
Phone (740) 380-8090
875 8th St NE
Massillon, OH 44646
Phone (216) 832-8761
3780 Medina Rd
Ste 120
Medina, OH 44256
Phone (330) 753-6643
34501 Aurora Rd
Ste 306
Solon, OH 44139
Phone (440) 498-0972
2615 E High St
Springfield, OH 45505
Phone (888) 861-3994
195 Wadsworth Rd
Wadsworth, OH 44281
Phone (330) 331-1000
3373 Commerce Pkwy
Ste 3
Wooster, OH 44691
Phone (330) 284-9119
1031 W Western Reserve Rd
Youngstown, OH 44514
Phone (330) 746-7691
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
- Dayton, OH
- NPI 1629401898
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Springfield, OH
- NPI 1417276429
-
- Anesthesiology Physician
- Poland, OH
- NPI 1851656854
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Logan, OH
- NPI 1700100419
-
- Pain Medicine (Anesthesiology) Physician
- Wooster, OH
- NPI 1649616947
-
- Anesthesiology Physician
- Akron, OH
- NPI 1841244944
-
- Anesthesiology Physician
- Akron, OH
- NPI 1215930425
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Cuyahoga Falls, OH
- NPI 1821042342
-
- Anesthesiology Physician
- Springfield, OH
- NPI 1427165570
-
- Anesthesiology Physician
- Lorain, OH
- NPI 1689668576
-
- Anesthesiology Physician
- Akron, OH
- NPI 1770547408
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Canton, OH
- NPI 1295036762
Hospital
-
- General Acute Care Hospital
- Akron, OH
- NPI 1396765681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332288000000",
"number": "1528064631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 WEST CREEK RD",
"address_2": "STE 10",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312182",
"telephone_number": "216-986-1309",
"fax_number": "216-986-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 WEST CREEK RD",
"address_2": "STE 10",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312182",
"telephone_number": "216-986-1309",
"fax_number": "216-986-1191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREBZAK",
"first_name": "TINA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-23",
"last_updated": "2012-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "NA-06677",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000328397",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2296037",
"state": "OH"
}
],
"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 Mar 21, 2012; 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.