Organization Active NPI

Cross Country Anesthesia, Inc.

  • Certified Registered Nurse Anesthetist
  • Cleveland HTS, OH
National Provider Identifier
1700920469
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
050966 Issued in OH
Legal business name
CROSS COUNTRY ANESTHESIA, INC.
Practice address
2533 Derbyshire Rd
Cleveland HTS, OH 44106-3230
Phone
(216) 932-4522
Fax
(216) 928-0141
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Lincoln Daniel Gisel, CRNA
Title
President
Phone
(216) 932-4522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 050966 OH Primary

Addresses

Primary practice location

2533 Derbyshire Rd
Cleveland HTS, OH 44106-3230

Mailing address

2533 Derbyshire Rd
Cleveland HTS, OH 44106-3230
Phone (216) 932-4522

Other identifiers 1

IdentifierTypeStateIssuer
00216277OtherOHRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700920469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 DERBYSHIRE RD",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441063230",
            "telephone_number": "216-932-4522",
            "fax_number": "216-928-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 DERBYSHIRE RD",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441063230",
            "telephone_number": "216-932-4522",
            "fax_number": "216-928-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS COUNTRY ANESTHESIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GISEL",
        "authorized_official_first_name": "LINCOLN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-932-4522",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "050966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "00216277",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.