Individual provider Active NPI

Candia S Zlenka, CRNA

  • Certified Registered Nurse Anesthetist
  • Canfield, OH
National Provider Identifier
1770536310
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN222945 Issued in OH
Practice address
4147 Westford Dr
Canfield, OH 44406-8086
Phone
(330) 702-1489
Fax
(330) 702-1545
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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 RN222945 OH Primary

Addresses

Primary practice location

4147 Westford Dr
Canfield, OH 44406-8086

Mailing address

4135 Boardman Canfield Rd
Suite 101
Canfield, OH 44406-9803
Phone (330) 286-5330

Other identifiers 3

IdentifierTypeStateIssuer
8216518OtherOHMEDICARE PTAN
P00400904OtherOHMEDICARE RAILROAD
0382143MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Gastroenterology Clinic & Endoscopy Center Inc CurrentSince Mar 1, 2017 Accepting new patients
Bel-Park Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 5, 2007 Accepting new patients
Anesthesia Associates of Alliance LLC Past Accepting new patients

Locations

200 E State St
Alliance, OH 44601
Phone (330) 596-6000

4135 Boardman Canfield Rd
Ste 101
Canfield, OH 44406
Phone (330) 532-7215

4147 Westford Dr
Canfield, OH 44406
Phone (330) 533-4372

1995 E State St
Salem, OH 44460
Phone (330) 332-1551

3893 E Market St
Warren, OH 44484
Phone (330) 856-4000

1622 E Market St
Warren, OH 44483
Phone (330) 399-7215

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

8135 Market St
Youngstown, OH 44512
Phone (330) 758-0900

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1770536310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 BOARDMAN CANFIELD RD",
            "address_2": "SUITE 101",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069803",
            "telephone_number": "330-286-5330",
            "fax_number": "330-286-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4147 WESTFORD DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068086",
            "telephone_number": "330-702-1489",
            "fax_number": "330-702-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZLENKA",
        "first_name": "CANDIA",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN222945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "8216518",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00400904",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0382143",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.