Individual provider Active NPI

Dana Brake, CRNA

  • Certified Registered Nurse Anesthetist
  • Alliance, OH
National Provider Identifier
1689780348
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
041509 Issued in OH
Practice address
975 S Sawburg Ave
Alliance, OH 44601-3515
Phone
(330) 208-2720
Fax
(330) 208-2721
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 041509 OH Primary

Addresses

Primary practice location

975 S Sawburg Ave
Alliance, OH 44601-3515

Mailing address

2215 E Waterloo Rd Ste 313
Akron, OH 44312-3856
Phone (330) 208-2720

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111121000714 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082888466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of New Mexico School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lababidi Enterprises IncGroup PAC ID 8820077704, 9 clinicians
LHZ Limited PTRGroup PAC ID 9739160334, 5 clinicians

Practice addresses (Care Compare)

1560 Corporate Woods Pkwy
Uniontown, OH 44685-8730
Phone 330208272011207

4441 Hudson Dr
Stow, OH 44224-2218
Phone 44065650502030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041509OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lababidi Enterprises Inc. CurrentSince Oct 17, 2011 Accepting new patients
LHZ Limited PTR Nurse Anesthetist, Certified Registered CurrentSince Feb 15, 2016 Accepting new patients
LHZ Limited PTR Current Accepting new patients
Summit Anesthesia Group, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Akron Pediatric Ophthalmology and Ophthalmic Plastic Surgery, Inc Past Accepting new patients
Anesthesia and Pain Center of Akron, Inc. Past Accepting new patients

Locations

2215 E Waterloo Rd
Ste 313
Akron, OH 44312
Phone (330) 208-2721

975 S Sawburg Ave
Alliance, OH 44601
Phone (330) 821-7997

6880 W Snowville Rd
Ste 215
Brecksville, OH 44141
Phone (440) 526-1974

1299 Industrial Pkwy N
Brunswick, OH 44212
Phone (330) 225-6468

1560 Corporate Woods Pkwy
Green, OH 44685
Phone 330208272011201

1560 Corporate Woods Pkwy
Ste A
Green, OH 44685

225 Elyria St
Lodi, OH 44254
Phone (330) 948-1222

4441 Hudson Dr
Stow, OH 44224
Phone (330) 920-4500

195 Wadsworth Rd
Wadsworth, OH 44281
Phone (330) 331-1000

Organizations & group practices 6

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1689780348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 E WATERLOO RD STE 313",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443123856",
            "telephone_number": "330-208-2720",
            "fax_number": "330-208-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 S SAWBURG AVE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446013515",
            "telephone_number": "330-208-2720",
            "fax_number": "330-208-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAKE",
        "first_name": "DANA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "041509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.