Individual provider Active NPI

Barbara M Douglas, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Chardon, OH
National Provider Identifier
1891788923
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
197187 Issued in OH
Practice address
11991 Taylor Wells Rd
Chardon, OH 44024-7900
Phone
(440) 724-0722
Fax
(440) 635-0046
NPI assigned
Aug 24, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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 197187 OH Primary

Addresses

Primary practice location

11991 Taylor Wells Rd
Chardon, OH 44024-7900

Mailing address

11991 Taylor Wells Rd
Chardon, OH 44024-7900
Phone (440) 724-0722

Other identifiers 1

IdentifierTypeStateIssuer
2053843MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040427001588 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305833849 Reassigns benefits to 11 organizations
I20220521000065 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305833849 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians
Safe Anesthesia Chardon LLCGroup PAC ID 0547456386, 20 clinicians
Treasure Coast Anesthesia Group PAGroup PAC ID 2567600588, 98 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

13207 Ravenna Rd
Chardon, OH 44024-7032
Phone (216) 383-0100

13207 Ravenna Rd H
Chardon, OH 44024-7032
Phone (216) 383-0100

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

158 W Main Rd
Conneaut, OH 44030-2039

200 SE Hospital Ave
Stuart, FL 34994-2346
Phone (772) 287-5200

7580 Auburn Rd
Suite 214
Concord Township, OH 44077-9617
Phone (440) 354-0944

Hospital & facility affiliations

  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
  • Uh Regional Hospitals Hospital, Chardon, OH, CCN 360075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
197187OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Anesthesia Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 10, 2013 Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince Jul 24, 2017 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
Fpra Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 15, 2022 Accepting new patients
University Primary Care Practices Inc CurrentSince Aug 4, 2024 Accepting new patients
University Primary Care Practices Inc CurrentSince Aug 4, 2024 Accepting new patients
Firelands Anesthesia Associates, Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 22, 2018 Accepting new patients
South Central Ohio Anesthesia LLC CurrentSince May 1, 2013 Accepting new patients
Imperial Enterprise of Ohio LLC CurrentSince Feb 1, 2016 Accepting new patients
Treasure Coast Anesthesia Group PA Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Aug 4, 2024 Accepting new patients
Safe Anesthesia Geneva LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 24, 2017 Accepting new patients
Amsurg Toledo Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 18, 2018 Accepting new patients
Anesthesia Services of Greater Dayton, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2023 Accepting new patients
National Surgical Centers of America LLC PastSince Oct 15, 2022 Accepting new patients
Elyria Anesthesia Incorporated PastSince May 17, 1993 Accepting new patients
University Hospitals Cleveland Medical Center Past Accepting new patients

Locations

5365 Atlantic Ave
Ste 501
Delray Beach, FL 33484
Phone (561) 279-3500

150 SW Chamber Ct
Ste 104
Port St Lucie, FL 34986
Phone (772) 879-5300

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500

1693 Lee Rd
Ste A
Winter Park, FL 32789
Phone (407) 287-4300

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

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004

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

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

11100 Euclid Ave
Cleveland Heights, OH 44106

7757 Auburn Rd
Ste 15
Concord Township, OH 44077
Phone (440) 709-9150

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

4235 Indian Ripple Rd
Ste 110
Dayton, OH 45440
Phone (937) 427-7800

245 W Elmwood Dr
Ste 100
Dayton, OH 45459
Phone (937) 350-6703

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

601 State Route 664 N
Ste 114
Logan, OH 43138
Phone (740) 380-8090

29017 Cedar Rd
Lyndhurst, OH 44124
Phone (440) 255-9920

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

5106 Wilson Mills Rd
Richmond Hts, OH 44143
Phone (440) 461-2570

3605 Warrensville Center Rd
#R
Shaker Heights, OH 44122

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

4841 Monroe St
Ste 111
Toledo, OH 43623
Phone (419) 474-3949

1100 Neal Zick Rd
Willard, OH 44890
Phone (419) 933-2811

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

Interoperability endpoints

  • Direct secure messaging: bdouglas553400@ehrdirect.uhhospitals.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 2

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1891788923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11991 TAYLOR WELLS RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440247900",
            "telephone_number": "440-724-0722",
            "fax_number": "440-635-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11991 TAYLOR WELLS RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440247900",
            "telephone_number": "440-724-0722",
            "fax_number": "440-635-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "BARBARA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "C.R.N.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "197187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2053843",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chardon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.