Active NPI
Raisa Dyachuk, CRNA
- Certified Registered Nurse Anesthetist
- Westlake, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 341220
- Practice address
- 29000 Center Ridge Rd
Westlake, OH 44145-5219 - Phone
- (440) 827-5007
- NPI assigned
- Aug 31, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 341220 | OH | Primary |
Addresses
Primary practice location
29000 Center Ridge Rd
Westlake, OH 44145-5219
Mailing address
29000 Center Ridge Rd
Westlake, OH 44145-5219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18697 Bagley Rd
Middlebrg HTS, OH 44130-3417
Phone (440) 816-8000
Hospital & facility affiliations
- Southwest General Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.06 of 100
- Quality
- 63.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.3
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.79 of 100
- Quality
- 71.01
- Improvement activities
- 40
- Cost
- 82.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 341220 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest General Medical Group, Inc. | Current | Accepting new patients | |
| Ohio Anesthesia Group, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southwest General Medical Group Inc | Current | Accepting new patients | |
| Southwest General Medical Group Inc | Current | Accepting new patients |
Locations
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
7757 Auburn Rd
Ste 15
Concord Township, OH 44077
Phone (440) 709-9150
7255 Old Oak Blvd
Ste C202
Middleburg Heights, OH 44130
Phone (440) 816-5390
15345 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 743-8000
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
19250 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 260-9970
29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046
36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Cleveland, OH
- NPI 1134239676
-
- Anesthesiology Physician
- Canton, OH
- NPI 1639348113
Nurse Anesthetist, Certified Registered
-
- Durable Medical Equipment & Medical Supplies
- Middleburg HTS, OH
- NPI 1588393979
-
- Family Medicine Physician
- Strongsville, OH
- NPI 1841349537
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1154353993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1831566439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29000 CENTER RIDGE RD",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441455219"
},
{
"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": "441455219",
"telephone_number": "440-827-5007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYACHUK",
"first_name": "RAISA",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-31",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "341220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.