Active NPI
Henry T Prijatel, CRNA
- Certified Registered Nurse Anesthetist
- Barberton, OH
National Provider Identifier
1689763435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN148880
- Practice address
- 155 5TH St NE
Barberton, OH 44203-3332 - Phone
- (330) 745-1611
- Fax
- (330) 848-7795
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN148880 | OH | Primary |
Addresses
Primary practice location
155 5TH St NE
Barberton, OH 44203-3332
Mailing address
PO Box 74382
Cleveland, OH 44194-0002
Phone (614) 430-5727
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0768432 | Medicaid | OH | |
| 430069418 | Other | MEDICARE RAILROAD | |
| 000000215290 | Other | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN148880 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Physicians Assoc 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.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1043270150
-
- Anesthesiology Physician
- Barberton, OH
- NPI 1134175078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187827200000",
"number": "1689763435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74382",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441940002",
"telephone_number": "614-430-5727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 5TH ST NE",
"city": "BARBERTON",
"state": "OH",
"postal_code": "442033332",
"telephone_number": "330-745-1611",
"fax_number": "330-848-7795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIJATEL",
"first_name": "HENRY",
"middle_name": "T",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2007-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN148880",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0768432",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "430069418",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000215290",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Barberton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.