LEGACY ANESTHESIA SERVICES LLC (NPI# 1760741292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760741292 |
| Entity Type | Organization |
| Organization Name | LEGACY ANESTHESIA SERVICES LLC |
| Practice Address |
5035 Mayfield Rd Ste 101 Lyndhurst OH 44124-2688 |
| Practice Telephone | 2169230666 |
| Practice Fax Number | 2163421136 |
| Mailing Telephone | 2169230666 |
| Mailing Fax Number | 2163421136 |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2012-05-03 |
| Authorized Official Name | DR. RODNEY ALLAN GREEN (MANAGER) |
| Authorized Official Telephone | 2169230666 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5035 MAYFIELD RD STE 101 |
| City | LYNDHURST |
| State | OH |
| Zip Code | 44124-2688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972504876 | Roberta Judith Tonti | Social Worker | 5035 Mayfield Rd, Suite #214, Lyndhurst, OH 44124-2688 | 2005-08-02 |
| 1730520578 | Fredrick K Rzepka | Dentist | 5035 Mayfield Rd, 225, Lyndhurst, OH 44124-2688 | 2013-07-09 |
| 1396077582 | Hilltop Ambulatory Surgery Center LLC | Clinic/Center | 5035 Mayfield Rd, Suiite # 100, Lyndhurst, OH 44124-2688 | 2010-02-12 |
| 1932364965 | Rodney Allan Green | Plastic Surgery | 5035 Mayfield Rd, Ste 100, Lyndhurst, OH 44124-2688 | 2008-07-18 |
| 1700050960 | Giselle A Lander | Optometrist | 5035 Mayfield Rd, Suite 110, Lyndhurst, OH 44124-2688 | 2008-04-18 |
| 1578734984 | Brian J Weiss | Durable Medical Equipment & Medical Supplies | 5035 Mayfield Rd, Suite 215, Lyndhurst, OH 44124-2688 | 2008-03-13 |
| 1700071222 | Fredrick K Rzepka Dds Inc | Dentist | 5035 Mayfield Rd, Lyndhurst, OH 44124 | 2007-09-07 |
| 1235324757 | Harry S Rzepka Dds Inc | Dentist | 5035 Mayfield Rd, Lyndhurst, OH 44124 | 2007-09-07 |
| 1710171152 | Karen Nicole Bird | Occupational Therapist | 5035 Mayfield Rd, Suite 100, Lyndhurst, OH 44124-2688 | 2007-08-29 |
| 1093928251 | James J Cermak | Dentist | 5035 Mayfield Rd, Suite 211, Lyndhurst, OH 44124-2688 | 2007-05-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104470509 | Marian Rae Barton | Physician Assistant | 6092 Mayfield Rd, Mayfield Heights, OH 44124 | 2019-07-25 |
| 1831669860 | Tameka D. Weaver | Home Health Aide | 1408 Golden Gate Blvd, Mayfield Hts, OH 44124 | 2018-12-03 |
| 1508371238 | Jamila Shafawn Hardy | Counselor | 1320 Washington Blvd, Cleveland, OH 44124 | 2017-12-04 |
| 1134664899 | Sergio Watson | Licensed Practical Nurse | 1131 Irene Rd, Lyndhurst, OH 44124 | 2017-01-04 |
| 1164894424 | Carrie Lynn Rodick | Registered Nurse | 1212 Blanchester, Lyndhurst, OH 44124 | 2015-10-27 |
| 1205205804 | Mary Rose Moore | Nurse Practitioner | 1443 Richmond Road, Lyndhurst, OH 44124 | 2015-09-24 |
| 1154717551 | Hongfei Di | Family Medicine | 5187 Mayfield Rd Ste 102, Lyndhurst, OH 44124 | 2015-04-13 |
| 1558753376 | Taj Amjad Khan | Pediatrics | 32810 Creekside Drive, Pepper Pike, OH 44124 | 2015-03-03 |
| 1902297195 | Marcellus Gliha | Hearing Instrument Specialist | 1438 S.o.m. Center Rd, #101, Mayfield Heights, OH 44124 | 2015-02-10 |
| 1194122051 | Doug Blecher | Counselor | 5512 Kilbourne Dr, Cleveland, OH 44124 | 2014-11-20 |
| Find all providers in zip 44124 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942293741 | Diane Mayo | Nurse Anesthetist, Certified Registered | 29017 Cedar Rd, Lyndhurst, OH 44124-4073 | 2005-08-26 |
| 1376536466 | James Giulitto | Nurse Anesthetist, Certified Registered | 29017 Cedar Rd, Lyndhurst, OH 44124-4073 | 2005-08-24 |
| 1528060480 | David Hall | Nurse Anesthetist, Certified Registered | 29017 Cedar Rd, Lyndhurst, OH 44124-4073 | 2005-08-11 |
| 1689675779 | Sharon Held | Nurse Anesthetist, Certified Registered | 29017 Cedar Rd, Lyndhurst, OH 44124-4073 | 2005-08-10 |
| 1962403048 | Lincoln D Gisel | Nurse Anesthetist, Certified Registered | 29017 Cedar Rd, Lyndhurst, OH 44124-4073 | 2005-08-10 |
| 1891797866 | Brendan Hernon | Nurse Anesthetist, Certified Registered | 29017 Cedar Rd, Lyndhurst, OH 44124-4073 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737438 | Apollo Medical Group of West Chester LLC | Nurse Anesthetist, Certified Registered | 8742-8744 Union Centre Blvd., West Chester, OH 45069-4876 | 2020-10-12 |
| 1184221731 | Kristina Lasko Popelas | Nurse Anesthetist, Certified Registered | 2395 W 6th St, Cleveland, OH 44113-4524 | 2020-10-07 |
| 1427683309 | Eliud Rosales | Nurse Anesthetist, Certified Registered | 1 Akron General Ave Ofc, Akron, OH 44307-2432 | 2020-03-11 |
| 1003446436 | Walter Gerrard Williams II | Nurse Anesthetist, Certified Registered | 32480 W Nimrod St, Solon, OH 44139-4436 | 2020-01-24 |
| 1073153508 | Timothy King | Nurse Anesthetist, Certified Registered | 672 Brevard Cir, Pickerington, OH 43147-7875 | 2020-01-13 |
| 1952940660 | Lauren Marissa Whitfield | Nurse Anesthetist, Certified Registered | 108 Yellowstone Ct, Berea, OH 44017-3145 | 2019-12-27 |
| 1376181966 | Mac Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 188 Compton Rd, Cincinnati, OH 45215-5154 | 2019-12-14 |
| 1033771480 | Sammy S. Loonkishu | Nurse Anesthetist, Certified Registered | 414 Crystal Point Dr, Dayton, OH 45459-4170 | 2019-07-07 |
| 1316400955 | Victoria Alejandra Sorensen | Nurse Anesthetist, Certified Registered | 3533 Southern Blvd Ste 4400, Kettering, OH 45429-1273 | 2019-04-10 |
| 1356826028 | Cara Eileen Shaw | Nurse Anesthetist, Certified Registered | 6915 Garber Rd, Bellville, OH 44813-8987 | 2018-09-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.