Active NPI
Charles Eddy Seacrist III, RN
- Certified Registered Nurse Anesthetist
- Chardon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 00208882
- Practice address
- 150 7TH Ave
Chardon, OH 44024-2908 - Phone
- (440) 285-2900
- NPI assigned
- May 22, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 430272 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 00208882 | OH | Primary |
Addresses
Primary practice location
150 7TH Ave
Chardon, OH 44024-2908
Mailing address
38401 Mentor Ave Unit 7303
Willoughby, OH 44094-8760
Phone (440) 221-6634
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 7TH Ave
Chardon, OH 44024-2908
Phone (440) 285-2900
870 W Main St
Geneva, OH 44041-1219
Phone (440) 466-1141
Hospital & facility affiliations
- Uhhs Memorial Hospital of Geneva
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 430272 | OH | MD | Critical Care Medicine Registered Nurse |
| 00208882 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Anesthesia Geneva LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Uh North Ridgeville Endoscopy Center LLC | Current | Accepting new patients | |
| Safe Anesthesia Chardon LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients |
Locations
150 7th Ave
Chardon, OH 44024
Phone (440) 285-2900
11100 Euclid Ave
Fl 6
Cleveland, OH 44106
Phone (216) 844-2172
11100 Euclid Ave
Cleveland Heights, OH 44106
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
870 W Main St
Geneva, OH 44041
Phone (440) 415-0258
32800 Lorain Rd
Ste 2400
North Ridgeville, OH 44039
Phone (440) 406-5562
Interoperability endpoints
- cseacrist392000@ehrdirect.uhhospitals.org
Organizations & group practices 7
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.
-
- Certified Registered Nurse Anesthetist
- Chardon, OH
- NPI 1740599976
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Geneva, OH
- NPI 1821327636
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- North Ridgeville, OH
- NPI 1396213294
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
-
- Gastroenterology Physician
- Mentor, OH
- NPI 1003935339
-
- Internal Medicine Physician
- Shaker Heights, OH
- NPI 1720220098
-
- Orthopaedic Surgery Physician
- Oberlin, OH
- NPI 1982727087
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Geneva, OH
- NPI 1225128432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1619669488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38401 MENTOR AVE UNIT 7303",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440948760",
"telephone_number": "440-221-6634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 7TH AVE",
"city": "CHARDON",
"state": "OH",
"postal_code": "440242908",
"telephone_number": "440-285-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEACRIST",
"first_name": "CHARLES",
"middle_name": "EDDY",
"name_suffix": "III",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-22",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "OH",
"license": "430272",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "00208882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.