Individual provider Active NPI

Bethany M Zawisza, CRNA

  • Certified Registered Nurse Anesthetist
  • Cumberland, MD
National Provider Identifier
1699072512
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R193597 Issued in MD
Practice address
115 Baltimore St Ste 200
Box 1571
Cumberland, MD 21502-2301
Phone
(301) 723-4965
Fax
(301) 723-4983
NPI assigned
Feb 14, 2011
Last updated
Feb 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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 R193597 MD Primary

Addresses

Primary practice location

115 Baltimore St Ste 200
Box 1571
Cumberland, MD 21502-2301

Mailing address

288 W Mud Pike
Rockwood, PA 15557-6944
Phone (724) 433-4867

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110502000434 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911182209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia Maryland LLCGroup PAC ID 1850283144, 47 clinicians

Practice addresses (Care Compare)

12500 Willowbrook Rd
Western Maryland Health System
Cumberland, MD 21502-6393
Phone (240) 964-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R193597MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Anesthesia Ams LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 9, 2019 Accepting new patients
North American Partners in Anesthesia Maryland LLC CurrentSince Oct 1, 2017 Accepting new patients
Cumberland Anesthesia Past Accepting new patients

Locations

12252 Williams Rd SE
Ste 1
Cumberland, MD 21502
Phone (240) 552-0185

12252 Williams Rd SE
Ste 103
Cumberland, MD 21502
Phone (240) 522-0185

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1699072512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 W MUD PIKE",
            "city": "ROCKWOOD",
            "state": "PA",
            "postal_code": "155576944",
            "telephone_number": "724-433-4867",
            "fax_number": "301-723-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BALTIMORE ST STE 200",
            "address_2": "BOX 1571",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022301",
            "telephone_number": "301-723-4965",
            "fax_number": "301-723-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAWISZA",
        "first_name": "BETHANY",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R193597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.