Individual provider Active NPI

Duane M Violet, CRNA

  • Certified Registered Nurse Anesthetist
  • Canton, OH
National Provider Identifier
1871548446
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN197556 Issued in OH
Practice address
4665 Douglas Cir NW
Suite 101
Canton, OH 44718-3673
Phone
(330) 499-5700
Fax
(330) 498-4229
NPI assigned
May 23, 2006
Last updated
Aug 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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 RN197556 OH Primary

Addresses

Primary practice location

4665 Douglas Cir NW
Suite 101
Canton, OH 44718-3673

Mailing address

255 W Michigan Ave
Jackson, MI 49201-2218
Phone (517) 787-6440

Other identifiers 3

IdentifierTypeStateIssuer
000000257793OtherANTHEM
0932996MedicaidOH
430021063OtherMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040812001397 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547233165 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN197556OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Ohio LLC CurrentSince May 31, 2021 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Ohio Anesthesia Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2008 Accepting new patients
Apollo Medical Group of Ohio LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 16, 2024 Accepting new patients
Anesthesia Care of Union Hospital, Inc. PastSince Aug 1, 2005 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Stark County Anesthesia, Inc. Past Accepting new patients
Barrett Pain Associates, Inc PastSince Sep 1, 2007 Accepting new patients
Wheeling Hospital, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1341 Clark St
Cambridge, OH 43725
Phone (614) 439-8900

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

4665 Douglas Cir NW
Ste 100
Canton, OH 44718
Phone (330) 499-5700

4665 Douglas Cir NW
Ste 101
Canton, OH 44718
Phone (330) 489-1698

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

320 Oxford St
Dover, OH 44622
Phone (330) 365-2101

6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 305-6999

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

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1871548446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "517-787-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 DOUGLAS CIR NW",
            "address_2": "SUITE 101",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183673",
            "telephone_number": "330-499-5700",
            "fax_number": "330-498-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIOLET",
        "first_name": "DUANE",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN197556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000257793",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0932996",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "430021063",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.