Active NPI
Diane Grace Dicenso, CRNA
- Certified Registered Nurse Anesthetist
- Warren, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 078085
- Practice address
- 1350 East Market St
Trumbull Memorial Hospital
Warren, OH 44484 - Phone
- (330) 841-9011
- NPI assigned
- Oct 9, 2007
- Last updated
- Oct 9, 2007
- 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 | 078085 | OH | Primary |
Addresses
Primary practice location
1350 East Market St
Trumbull Memorial Hospital
Warren, OH 44484
Mailing address
3622 Belmont Ave
Suite 1
Youngstown, OH 44505-1450
Phone (330) 759-9350
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 |
|---|---|---|---|
| 078085 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia & Intensive Care Consultants,Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Ohio LLC | Current | Accepting new patients | |
| Southwest Ohio Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Keystone Anesthesia Consultants, LTD | Current | Accepting new patients | |
| The Gastroenterology Clinic & Endoscopy Center Inc | Current | Accepting new patients | |
| Advanced Anesthesia Associates,Inc | Past | Accepting new patients |
Locations
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
2580 Elm Rd NE
Bldg A
Cortland, OH 44410
Phone (330) 841-1011
2615 E High St
Springfield, OH 45505
Phone (888) 861-3994
1350 E Market St
Warren, OH 44483
Phone (330) 841-5969
1622 E Market St
Warren, OH 44483
Phone (330) 399-7215
740 E State St
Sharon, PA 16146
Phone (724) 983-1980
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Springfield, OH
- NPI 1417276429
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1588645188
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Warren, OH
- NPI 1952497117
-
- Anesthesiology Physician
- Batavia, OH
- NPI 1164859013
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Youngstown, OH
- NPI 1538117460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1699963256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3622 BELMONT AVE",
"address_2": "SUITE 1",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445051450",
"telephone_number": "330-759-9350",
"fax_number": "330-759-9387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 EAST MARKET ST",
"address_2": "TRUMBULL MEMORIAL HOSPITAL",
"city": "WARREN",
"state": "OH",
"postal_code": "44484",
"telephone_number": "330-841-9011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICENSO",
"first_name": "DIANE",
"middle_name": "GRACE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "078085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.