Active NPI
Carol A Thierry, AA
- Anesthesiologist Assistant
- Westlake, OH
National Provider Identifier
1790741015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 67000026
- Practice address
- 29000 Center Ridge Rd
Westlake, OH 44145-5293 - Phone
- (440) 827-5156
- NPI assigned
- Apr 25, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 67000026 | OH | Primary |
Addresses
Primary practice location
29000 Center Ridge Rd
Westlake, OH 44145-5293
Mailing address
652 Gloucester Dr
Highland HTS, OH 44143-2002
Phone (440) 461-7601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2264955 | Medicaid | OH |
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
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67000026 | OH | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northcoast Anesthesia Providers | Past | Accepting new patients | |
| Clinic Physician Services Co. LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Mayfield HTS, OH
- NPI 1235127408
-
- Critical Care Medicine (Anesthesiology) Physician
- Westlake, OH
- NPI 1982697116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229385600000",
"number": "1790741015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "652 GLOUCESTER DR",
"city": "HIGHLAND HTS",
"state": "OH",
"postal_code": "441432002",
"telephone_number": "440-461-7601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29000 CENTER RIDGE RD",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441455293",
"telephone_number": "440-827-5156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIERRY",
"first_name": "CAROL",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "AA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2008-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "OH",
"license": "67000026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2264955",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westlake, OH
- The Family Dentist of Westlake Jonathan J Klineman DDS Inc
- Brittany Theberge, M.ED., BCBA, COBA
- Steven Ashley Thellmann, M.S., CCC-SLP
- Therapeutic Sleep Solutions LTD
- Therapeutic Sleep Solutions LTD
- Think Differently ABA Therapy LLC
- Thomas F. Zak, D.C., LLC
- Agnes Thomas, MD
- Jantira Tara Thomas, D.O.
- John Thomas, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.