Individual provider Active NPI

Joseph Bruno Oliveti, CRNA

  • Certified Registered Nurse Anesthetist
  • Akron, OH
National Provider Identifier
1679571400
Registry record updated Aug 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN 145207 Issued in OH
Practice address
657 Marina Dr
Akron, OH 44319-3455
Phone
(330) 990-0718
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN 145207 OH Primary
Certified Registered Nurse Anesthetist 367500000X 4704240687 MI
Certified Registered Nurse Anesthetist 367500000X RN555078 PA
Certified Registered Nurse Anesthetist 367500000X 162979 CO

Addresses

Primary practice location

657 Marina Dr
Akron, OH 44319-3455

Mailing address

657 Marina Dr
Akron, OH 44319-3455
Phone (330) 990-0718

Other identifiers 1

IdentifierTypeStateIssuer
0751459MedicaidOH

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

LicenseStateTypeSpecialty
162979COMDCertified Registered Nurse Anesthetist
4704240687MIMDCertified Registered Nurse Anesthetist
RN 145207OHMDCertified Registered Nurse Anesthetist
RN555078PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates, PLL Past Accepting new patients
Comprehensive Care Anesthesia Services Inc Past Accepting new patients
Aultman North Canton Medical Group Past Accepting new patients
Licking Memorial Professional Corporation Past Accepting new patients
Professional Anesthesia Service Inc PastSince Apr 29, 1998 Accepting new patients
Anesthesia Associates of Southern Ohio, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Southwest Anesthesiology Group, Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345939200000",
    "number": "1679571400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 MARINA DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443193455",
            "telephone_number": "330-990-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 MARINA DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443193455",
            "telephone_number": "330-990-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVETI",
        "first_name": "JOSEPH",
        "middle_name": "BRUNO",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2012-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN 145207",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704240687",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN555078",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "162979",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0751459",
            "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 Aug 26, 2012; 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.