Individual provider Active NPI

Leah Marie Gaeta, CRNA, MSN

  • Certified Registered Nurse Anesthetist
  • Cleveland, OH
National Provider Identifier
1861993651
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.019669 Issued in OH
Practice address
9500 Euclid Ave
Cleveland, OH 44195-1219
Phone
(216) 444-2200
NPI assigned
Feb 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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 APRN.CRNA.019669 OH Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195-1219

Mailing address

33839 Willowick Dr
Eastlake, OH 44095-2567
Phone (440) 477-5477

Other practice location 1

27100 Chardon Rd
Cleveland, OH 44143-1116
Phone (440) 585-6500

Other practice location 2

158 W Main Rd
Conneaut, OH 44030-2039
Phone (440) 593-1131

Other practice location 3

870 W Main St
Geneva, OH 44041-1219
Phone (440) 466-1141

Other identifiers 1

IdentifierTypeStateIssuer
1861993651MedicaidOH

Other names 1

  • Miss Leah Marie Nowak Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Gaetal@ccf.org Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180730002287 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537417167 Reassigns benefits to 5 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, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Safe Anesthesia Chardon LLCGroup PAC ID 0547456386, 20 clinicians
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

150 7TH Ave
Chardon, OH 44024-2908
Phone (440) 285-2900

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation Nurse Anesthetist, Certified Registered CurrentSince Jan 22, 2020 Accepting new patients
University Primary Care Practices Inc CurrentSince Jul 9, 2018 Accepting new patients
Safe Anesthesia Geneva LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 19, 2018 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Jul 9, 2018 Accepting new patients
University Primary Care Practices Inc CurrentSince Jul 9, 2018 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
Safe Anesthesia Chardon LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 19, 2018 Accepting new patients

Locations

150 7th Ave
Chardon, OH 44024
Phone (440) 285-2900

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Conneaut, OH 44030
Phone (216) 844-3777

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

870 W Main St
Geneva, OH 44041
Phone (440) 415-0258

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

27100 Chardon Rd
Richmond Hts, OH 44143
Phone (440) 585-6000

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1861993651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33839 WILLOWICK DR",
            "city": "EASTLAKE",
            "state": "OH",
            "postal_code": "440952567",
            "telephone_number": "440-477-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441951219",
            "telephone_number": "216-444-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27100 Chardon Rd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441431116",
            "country_code": "US",
            "telephone_number": "440-585-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "158 W Main Rd",
            "address_purpose": "LOCATION",
            "city": "Conneaut",
            "state": "OH",
            "postal_code": "440302039",
            "country_code": "US",
            "telephone_number": "440-593-1131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "870 W Main St",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "OH",
            "postal_code": "440411219",
            "country_code": "US",
            "telephone_number": "440-466-1141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAETA",
        "first_name": "LEAH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CRNA, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.019669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861993651",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Gaetal@ccf.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9500 Euclid Ave",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441951219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "NOWAK",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.