Active NPI
Duane L Fuerst, CRNA
- Certified Registered Nurse Anesthetist
- Lima, OH
National Provider Identifier
1972596468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 33934
- Practice address
- 2793 Shawnee Rd
Lima, OH 45806-1444 - Phone
- (419) 227-8209
- NPI assigned
- Aug 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN147379 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 33934 | OH | Primary |
Addresses
Primary practice location
2793 Shawnee Rd
Lima, OH 45806-1444
Mailing address
1017 Maxine LN
Suite 207
Van Wert, OH 45891-2649
Phone (419) 238-4139
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061649572-00 | Other | OH | WORKMENS COMPENSATION |
| 43007320 | Other | ND | MEDICARE RAILROAD |
| 000000249722 | Other | OH | ANTHEM BC/BS |
| 0487638 | Medicaid | OH | |
| 061649572002 | Other | OH | MEDICAL MUTUAL OF OHIO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN147379 | OH | MD | Registered Nurse |
| 33934 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Lima Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Van Wert Medical Services, LTD. | Past | Accepting new patients | |
| Fauster Cameron Inc. | Past | Accepting new patients | |
| VW Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Nursing Care Agency
- Van Wert, OH
- NPI 1538173844
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Lima, OH
- NPI 1487662300
Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Defiance, OH
- NPI 1649253964
-
- Clinic/Center
- Van Wert, OH
- NPI 1982107975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1972596468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 MAXINE LN",
"address_2": "SUITE 207",
"city": "VAN WERT",
"state": "OH",
"postal_code": "458912649",
"telephone_number": "419-238-4139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2793 SHAWNEE RD",
"city": "LIMA",
"state": "OH",
"postal_code": "458061444",
"telephone_number": "419-227-8209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUERST",
"first_name": "DUANE",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN147379",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "33934",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKMENS COMPENSATION",
"identifier": "061649572-00",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "43007320",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000249722",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0487638",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL OF OHIO",
"identifier": "061649572002",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.