Shane Lawrence Pelanda, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

COA-12110-NA Issued in OH

Practice address

4135 Boardman Canfield Rd
Suite 101
Canfield, OH 44406-9803

Phone

(330) 286-5330

Fax

(330) 286-5396

NPI assigned

Jan 11, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in OH, PA2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Liverpool Anesthesia ProfessionalsGroup PAC ID 3971038126, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• East Liverpool City Hospital Hospital, East Liverpool, OH, CCN 360096

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 and National Provider Directory roles.

• East Liverpool Anesthesia Professionals

  • Anesthesiology Physician
  • East Liverpool, OH
  • NPI 1790504413
  Medicare reassignment Care Compare group NPD
• Bel-Park Anesthesia Associates, Inc.

  • Anesthesiology Physician
  • Youngstown, OH
  • NPI 1508813528

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Coshocton Anesthesia Professionals LTD

  • Anesthesiology Physician
  • Coshocton, OH
  • NPI 1770128795

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Safe Anesthesia Geneva LLC

  • Certified Registered Nurse Anesthetist
  • Geneva, OH
  • NPI 1821327636

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• BPW Medical Associates P C

  • Anesthesiology Physician
  • Pittsburgh, PA
  • NPI 1508820390

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• North American Partners in Anesthesia, Pennsylvania , LLC

  • Anesthesiology Physician
  • Melville, NY
  • NPI 1639137854

  Nurse Anesthetist, Certified Registered, PA

  Medicare reassignment NPD
• Wexford Anesthesia Associates, PC

  • Anesthesiology Physician
  • Wexford, PA
  • NPI 1386879567

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

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

• The City Hospital Association

  • General Acute Care Hospital
  • East Liverpool, OH
  • NPI 1659375673
  Care Compare affiliation

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1982909610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041006",
            "telephone_number": "330-480-3658",
            "fax_number": "330-480-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELANDA",
        "first_name": "SHANE",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-11",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "COA-12110-NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12241994",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3128930",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000761030",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H088220",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01135540",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Patel, MHSC, SLP-CCC
• Taryn Lacey Patterson
• William Edward Patton, O.D.
• Rick K Peaslee, P.T.
• Carla Elizabeth Pecchio-Bowen
• David Pemberton Jr.
• Susan Marina Perdos, RN, NCTMB, LMT, CCHT
• Performance PT
• Elizabeth Perkins, LPC
• Kayleigh Perline

• Certified Registered Nurse Anesthetist in Canfield, OH
• Providers in Canfield, 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 Feb 11, 2015; 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.