Individual provider Active NPI

John Joseph Pasquarella, CRNA

  • Certified Registered Nurse Anesthetist
  • Weirton, WV
National Provider Identifier
1568534626
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
COA.02741-NA Issued in OH
Practice address
601 Colliers Way
Weirton, WV 26062-5014
Phone
(304) 797-6000
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X COA.02741-NA OH Primary

Addresses

Primary practice location

601 Colliers Way
Weirton, WV 26062-5014

Mailing address

90 N 4TH St
Martins Ferry, OH 43935-1648
Phone (304) 234-8663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802001647 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880665082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PRSC Anesthesia Group LLCGroup PAC ID 8820511900, 6 clinicians

Practice addresses (Care Compare)

103 Plaza Dr
Suite a
Saint Clairsville, OH 43950-7729
Phone (740) 449-2561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
COA.02741-NAOHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond a Bannan, MD LLC CurrentSince Dec 1, 2024 Accepting new patients
PRSC Anesthesia Group LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 19, 2025 Accepting new patients
Eastern Panhandle Anesthesia Associates Past Accepting new patients
Anesthesia Associates of Lima Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesiology Consultants of Toledo, Inc Past Accepting new patients

Locations

3372 Belmont St
Bellaire, OH 43906
Phone (740) 676-1121

103 Plaza Dr
Ste A
St Clairsvle, OH 43950
Phone (740) 310-6743

3301 S 14th St
Ste 16180
Abilene, TX 79605

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1568534626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 N 4TH ST",
            "city": "MARTINS FERRY",
            "state": "OH",
            "postal_code": "439351648",
            "telephone_number": "304-234-8663",
            "fax_number": "304-234-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 COLLIERS WAY",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625014",
            "telephone_number": "304-797-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASQUARELLA",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "COA.02741-NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.

Verify at the official NPI Registry.