Fred Burt Pasternak, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN220356 Issued in OH

Practice address

38680 Johnnycake Ridge Rd
Willoughby, OH 44094-7831

Phone

(440) 942-4367

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639388754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 ALDERSGATE DR",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441243859",
            "telephone_number": "440-821-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38680 JOHNNYCAKE RIDGE RD",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440947831",
            "telephone_number": "440-942-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTERNAK",
        "first_name": "FRED",
        "middle_name": "BURT",
        "name_prefix": "Mr.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN220356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paris A Parker, LPN
• Amanda Parks
• Latoya Jean Parks
• Harbhajan S Parmar, M.D.
• Sarah N. Pasqualone, M.D.
• Rachel Anna Pastrano, R.N.
• Chirag D. Patadia, MD
• Katie Pate
• Darshana G Patel, MD
• Jagrutiben Patel

• Registered Nurse in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.