Peter Whitehead Kearns, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN251756-1 Issued in OH

Practice address

425 W 5TH St
East Liverpool, OH 43920-2405

Phone

(330) 386-2017

NPI assigned

Aug 17, 2006

Last updated

Apr 21, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimum AnesthesiaGroup PAC ID 9638326432, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Salem Regional Medical Center Hospital, Salem, OH, CCN 360185

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optimum Anesthesia

  • Anesthesiology Physician
  • Poland, OH
  • NPI 1851656854
  Medicare reassignment Care Compare group
• Clinical Colleagues LLC

  • Anesthesiology Physician
  • Van Wert, OH
  • NPI 1992725766

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Ohio Valley Anesthetists LLC

  • Certified Registered Nurse Anesthetist
  • East Liverpool, OH
  • NPI 1558763888
  Authorized official Same address or phone
• Advanced Anesthesia Associates,Inc

  • Anesthesiology Physician
  • Youngstown, OH
  • NPI 1538117460
  NPD (past)
• Anesthesia Associates of Lima Inc

  • Certified Registered Nurse Anesthetist
  • Lima, OH
  • NPI 1487662300

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Anesthesia Group of Grand Island PC

  • Pain Medicine (Anesthesiology) Physician
  • Grand Island, NE
  • NPI 1346216793
  NPD (past)
• McCandless Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Pittsburgh, PA
  • NPI 1336324045
  NPD (past)
• Regional Anesthesia, PLLC

  • Specialist
  • Durham, NC
  • NPI 1952486946
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Salem Community Hospital

  dba Salem Regional Medical Center

  • General Acute Care Hospital
  • Salem, OH
  • NPI 1639131535
  Care Compare affiliation
• Salem Community Hospital

  dba SRMC Ancillary Services

  • Radiology Clinic/Center
  • Calcutta, OH
  • NPI 1750227377

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1972617223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 BOARDMAN CANFIELD RD",
            "address_2": "SUITE 101",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069803",
            "telephone_number": "330-286-5330",
            "fax_number": "330-286-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W 5TH ST",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439202405",
            "telephone_number": "330-386-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNS",
        "first_name": "PETER",
        "middle_name": "WHITEHEAD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN251756-1",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN354157L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "2615680",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017673070004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "218848TV6",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01613589",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12215037",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2236066",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "8226988",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamlesh K Aggarwal MD Inc
• Derrek Daeyool Kang, MD
• Heidi M Katabi-Kekel, LPCC-S
• Amandeep Kaur, MD
• Rachel Delynn Kearney, MS CCC-SLP
• Gina Kelley, CRNP
• Andrew James Kern
• Laurie Kernich, RN
• Ashley Marie Kerr, STNA
• Mariah Angel Kerr, M.S., CF-SLP

• Certified Registered Nurse Anesthetist in East Liverpool, OH
• Providers in East Liverpool, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.