Individual provider Active NPI

Jeremy Alfani

  • Certified Registered Nurse Anesthetist
  • Massillon, OH
National Provider Identifier
1780101360
Registry record updated Sep 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.019542 Issued in OH
Practice address
875 8TH St NE
Massillon, OH 44646-8503
Phone
(330) 832-8761
NPI assigned
Aug 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 118169 OH
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.019542 OH Primary

Addresses

Primary practice location

875 8TH St NE
Massillon, OH 44646-8503

Mailing address

214 Lake Pointe Dr
Akron, OH 44333-1795
Phone (330) 224-0410

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170919003671 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022382746 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
118169OHMDCertified Registered Nurse Anesthetist
APRN.CRNA.019542OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Anesthesia & Pain Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2018 Accepting new patients
Ohio Anesthesia Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 25, 2017 Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince Sep 8, 2017 Accepting new patients

Locations

444 N Main St
Akron, OH 44310
Phone (330) 375-6363

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

95 Arch St
Ste G55
Akron, OH 44304
Phone (330) 375-6660

155 5th St NE
Barberton, OH 44203
Phone (330) 615-3000

3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

875 8th St NE
Massillon, OH 44646
Phone (216) 832-8761

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

195 Wadsworth Rd
Wadsworth, OH 44281
Phone (330) 331-1000

1997 W Centerville Rd
Washington Township, OH 45459
Phone (937) 401-6000

Interoperability endpoints

  • Direct secure messaging: jeremy.alfani.p1@direct.gastroandhepatology.nextgenshare.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dayton Anesthesia and Pain Services LLC 217 clinicians

Practice addresses (Care Compare)

525 E Market St
Akron, OH 44304-1619
Phone (330) 375-3000

Hospital & facility affiliations

  • Summa Health System Hospital, Akron, OH, CCN 360020

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504569600000",
    "number": "1780101360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 LAKE POINTE DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443331795",
            "telephone_number": "330-224-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 8TH ST NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468503",
            "telephone_number": "330-832-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFANI",
        "first_name": "JEREMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-24",
        "last_updated": "2017-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "118169",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.019542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; 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.