Individual provider Active NPI

John Petch, RN

  • Certified Registered Nurse Anesthetist
  • Pittsburgh, PA
National Provider Identifier
1659972206
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN680795 Issued in PA
Practice address
4800 Friendship Ave
Pittsburgh, PA 15224-1722
Phone
(412) 578-5828
NPI assigned
Nov 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN.680795 PA
Critical Care Medicine Registered Nurse 163WC0200X RN.417077 OH
Certified Registered Nurse Anesthetist 367500000X RN680795 PA Primary

Addresses

Primary practice location

4800 Friendship Ave
Pittsburgh, PA 15224-1722

Mailing address

320 E North Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-3155

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230123002837 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204235641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Anesthesia Providers, LLCGroup PAC ID 0042558066, 54 clinicians

Practice addresses (Care Compare)

2951 Maple Ave
Zanesville, OH 43701-1406
Phone (740) 454-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.417077OHMDCritical Care Medicine Registered Nurse
RN.680795PAMDCritical Care Medicine Registered Nurse
RN680795PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Anesthesia Providers, LLC CurrentSince Jan 30, 2023 Accepting new patients

Locations

2907 Bell St
Zanesville, OH 43701
Phone (740) 455-6300

2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1659972206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-3155",
            "fax_number": "412-359-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 FRIENDSHIP AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241722",
            "telephone_number": "412-578-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETCH",
        "first_name": "JOHN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-02",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "PA",
            "license": "RN.680795",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "OH",
            "license": "RN.417077",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN680795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.