Organization Active NPI

C S Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Youngstown, OH
National Provider Identifier
1912923343
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN233535 Issued in OH
Legal business name
C S ANESTHESIA LLC
Practice address
3020 Belmont Ave
Youngstown, OH 44505-1846
Phone
(303) 759-7672
Fax
(208) 523-8978
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Authorized official

Name
Brian Neil Cross, CRNANPI 1376591164
Title
Owner
Phone
(330) 881-8309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X RN233535 OH Primary

Addresses

Primary practice location

3020 Belmont Ave
Youngstown, OH 44505-1846

Mailing address

3782 Sperone Dr
Canfield, OH 44406-9049
Phone (330) 881-8309

Other practice location 1

800 McKinley Ave NW
Canton, OH 44703-2463
Phone (330) 639-0046

Other identifiers 2

IdentifierTypeStateIssuer
001829088OtherPAHIGHMARK
1015775750001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060424000161 PA Part B Supplier - Clinic/Group Practice 3678583549 Receives reassigned benefits from 29 practitioners
Practice locations: Butler, PA; Hermitage, PA
O20060424000178 OH Part B Supplier - Clinic/Group Practice 3678583549 Receives reassigned benefits from 22 practitioners
Practice locations: Canton, OH; Youngstown, OH; Lima, OH

National Provider Directory

National Provider Directory

Locations

3041 Innovation Way
Hermitage, PA 16148
Phone (724) 656-9180

Practitioners & affiliated clinicians

Practitioners 58

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1912923343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3782 SPERONE DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069049",
            "telephone_number": "330-881-8309",
            "fax_number": "330-533-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051846",
            "telephone_number": "303-759-7672",
            "fax_number": "208-523-8978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 McKinley Ave NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447032463",
            "country_code": "US",
            "telephone_number": "330-639-0046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "C S ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-881-8309",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN233535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "001829088",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015775750001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.