Organization Active NPI

East Liverpool Specialty Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • East Liverpool, OH
National Provider Identifier
1922249952
Registry record updated Mar 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
251756 Issued in OH
Legal business name
EAST LIVERPOOL SPECIALTY ANESTHESIA LLC
Practice address
15613 Pineview Dr
Suite C
East Liverpool, OH 43920-9096
Phone
(330) 332-9094
Fax
(330) 382-1154
NPI assigned
Mar 22, 2009
Last updated
Mar 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2009

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

Authorized official

Name
Peter Whitehead Kearns, CRNA
Title
President
Phone
(330) 332-9094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 251756 OH Primary

Addresses

Primary practice location

15613 Pineview Dr
Suite C
East Liverpool, OH 43920-9096

Mailing address

15613 Pineview Dr
Suite C
East Liverpool, OH 43920-9096
Phone (330) 332-9094

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1237680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237680000000",
    "number": "1922249952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15613 PINEVIEW DR",
            "address_2": "SUITE C",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209096",
            "telephone_number": "330-332-9094",
            "fax_number": "330-382-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15613 PINEVIEW DR",
            "address_2": "SUITE C",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209096",
            "telephone_number": "330-332-9094",
            "fax_number": "330-382-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST LIVERPOOL SPECIALTY ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-22",
        "last_updated": "2009-03-22",
        "status": "A",
        "authorized_official_last_name": "KEARNS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "WHITEHEAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-332-9094",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "251756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2009; 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.