Active NPI
Daniel Sifferlin, CRNA
- Anesthesiology Physician
- Akron, OH
National Provider Identifier
1659378875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- RN-161480
- Practice address
- 400 Wabash Ave
Akron, OH 44307-2433 - Phone
- (330) 344-6000
- NPI assigned
- Jul 1, 2005
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | RN-161480 | OH | Primary |
Addresses
Primary practice location
400 Wabash Ave
Akron, OH 44307-2433
Mailing address
224 W Exchange St
Ste 220
Akron, OH 44302-1704
Phone (330) 344-6401
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0765622 | Medicaid | OH | |
| 000000191821 | Other | OH | ANTHEM PIN |
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 |
|---|---|---|---|
| RN-161480 | OH | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Consultants of Toledo, Inc | Anesthesiology | Past | Accepting new patients |
| Hollywood Diagnostic Center Inc | Past | Accepting new patients |
Organizations & group practices 2
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
- Toledo, OH
- NPI 1366482119
-
- Clinical Medical Laboratory
- Akron, OH
- NPI 1639249410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292803200000",
"number": "1659378875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 W EXCHANGE ST",
"address_2": "STE 220",
"city": "AKRON",
"state": "OH",
"postal_code": "443021704",
"telephone_number": "330-344-6401",
"fax_number": "330-344-1714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 WABASH AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443072433",
"telephone_number": "330-344-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIFFERLIN",
"first_name": "DANIEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2010-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "RN-161480",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0765622",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000191821",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.