Organization Active NPI

Lupi Anesthesia LLC

  • Anesthesiologist Assistant
  • Mentor, OH
National Provider Identifier
1912040171
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
67.000103 Issued in OH
Legal business name
LUPI ANESTHESIA LLC
Practice address
8124 Stockbridge Rd
Mentor, OH 44060-7633
Phone
(440) 479-8894
Fax
(216) 928-0141
NPI assigned
Feb 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Rocky James Lupi, AA
Title
President
Phone
(440) 479-8894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X 67.000103 OH Primary

Addresses

Primary practice location

8124 Stockbridge Rd
Mentor, OH 44060-7633

Mailing address

8124 Stockbridge Rd
Mentor, OH 44060-7633
Phone (440) 479-8894

Other identifiers 2

IdentifierTypeStateIssuer
2466317MedicaidOH
P00112288OtherOHRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912040171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8124 STOCKBRIDGE RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440607633",
            "telephone_number": "440-479-8894",
            "fax_number": "216-928-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8124 STOCKBRIDGE RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440607633",
            "telephone_number": "440-479-8894",
            "fax_number": "216-928-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUPI ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUPI",
        "authorized_official_first_name": "ROCKY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-479-8894",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AA"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "OH",
            "license": "67.000103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2466317",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00112288",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.