Individual provider Active NPI

Joan F Eischen, CRNA

  • Certified Registered Nurse Anesthetist
  • Toledo, OH
National Provider Identifier
1831142009
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
COA-434 Issued in OH
Practice address
2142 N Cove Blvd
Department of Surgery
Toledo, OH 43606-3895
Phone
(419) 291-4491
Fax
(419) 479-6905
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN180932 OH
Certified Registered Nurse Anesthetist 367500000X COA-434 OH Primary

Addresses

Primary practice location

2142 N Cove Blvd
Department of Surgery
Toledo, OH 43606-3895

Mailing address

One Seagate
Suite 800
Toledo, OH 43604-1558
Phone (419) 824-7250

Other identifiers 2

IdentifierTypeStateIssuer
0910849MedicaidOH
000000479667OtherOHANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeischen16681@epicdirect.promedica.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060914000043 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456355973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

650 Beaver Creek Cir
Suite 130
Maumee, OH 43537-1753
Phone (419) 891-6210

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN180932OHMDRegistered Nurse
COA-434OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sylvania Anesthesia Services, L.L.C. CurrentSince Mar 12, 2016 Accepting new patients
Promedica Central Physicians CurrentSince Dec 31, 2015 Accepting new patients
Promedica Central Physicians CurrentSince Dec 31, 2015 Accepting new patients
Krishan K Aggarwal, MD MRCP Inc PastSince Nov 15, 2005 Accepting new patients
Ohio Anesthesia Group, Inc Nurse Anesthetist, Certified Registered PastSince Nov 20, 2015 Accepting new patients
Steel City Anesthesia, LLC Nurse Anesthetist, Certified Registered PastSince Aug 7, 2006 Accepting new patients

Locations

730 N Macomb St
Ste 319
Monroe, MI 48162
Phone (734) 241-3900

501 Van Buren St
Fostoria, OH 44830
Phone (419) 435-7734

650 Beaver Creek Cir
Ste 130
Maumee, OH 43537
Phone (419) 891-6210

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

3156 Dustin Rd
Ste 203
Oregon, OH 43616
Phone (419) 698-1514

2600 Navarre Ave
Fl 3
Oregon, OH 43616
Phone (419) 696-7701

2801 Bay Park Dr
Oregon, OH 43616
Phone (419) 690-7652

5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305

5855 Monroe St
Sylvania, OH 43560
Phone (419) 291-2273

1 Seagate
Ste 800
Toledo, OH 43604

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

2865 N Reynolds Rd
Ste 190
Toledo, OH 43615
Phone (419) 578-7500

2000 Regency Ct
Ste 101
Toledo, OH 43623
Phone (419) 720-7866

Organizations & group practices 6

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1831142009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE SEAGATE",
            "address_2": "SUITE 800",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041558",
            "telephone_number": "419-824-7250",
            "fax_number": "419-824-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 N COVE BLVD",
            "address_2": "DEPARTMENT OF SURGERY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063895",
            "telephone_number": "419-291-4491",
            "fax_number": "419-479-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISCHEN",
        "first_name": "JOAN",
        "middle_name": "F",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN180932",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "COA-434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0910849",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000479667",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeischen16681@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.