Active NPI
Cross Country Anesthesia, Inc.
- Certified Registered Nurse Anesthetist
- Cleveland HTS, OH
National Provider Identifier
1700920469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 050966
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00216277 | Other | OH | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryNPI 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.