JACOB K RASANOW (NPI# 1124476924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124476924 |
| Entity Type | Individual |
| Full Name | JACOB K RASANOW |
| Credential | CAA |
| Practice Address |
7007 Powers Blvd Parma OH 44129-5437 |
| Mailing Address |
7757 Auburn Rd Ste 15 Painesville OH 44077-9604 |
| Practice Telephone | 4403500832 |
| Practice Fax Number | 4405790191 |
| Mailing Telephone | 4403500832 |
| Mailing Fax Number | 4403547420 |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2020-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 67.000283 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0217141 | 05 |
| Street Address |
7007 POWERS BLVD |
| City | PARMA |
| State | OH |
| Zip Code | 44129-5437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912903170 | Phillip A Venable | Anesthesiology | 7007 Powers Blvd, Parma, OH 44129-5437 | 2005-06-22 |
| 1093322976 | Lydia Masny | Pharmacist | 7007 Powers Blvd, Parma, OH 44129-5437 | 2020-09-25 |
| 1609486851 | Melanie Hocker | Dietitian, Registered | 7007 Powers Blvd, Parma, OH 44129-5437 | 2020-08-03 |
| 1851909428 | Shannon Fails | Respiratory Therapist, Registered | 7007 Powers Blvd, Parma, OH 44129-5437 | 2020-07-20 |
| 1962026153 | Devon L Kirsch | Nurse Anesthetist, Certified Registered | 7007 Powers Blvd, Parma, OH 44129-5437 | 2020-06-03 |
| 1184246035 | Jacqueline Molchan | Nurse Anesthetist, Certified Registered | 7007 Powers Blvd, Parma, OH 44129-5437 | 2020-05-14 |
| 1841812039 | Whitney Jablonski | Nurse Practitioner | 7007 Powers Blvd, Parma, OH 44129-5437 | 2020-05-11 |
| 1689203325 | Yuliya Fedchik | Internal Medicine | 7007 Powers Blvd, Parma, OH 44129-5437 | 2020-04-04 |
| 1154959237 | Luke Nientimp | Internal Medicine | 7007 Powers Blvd, Parma, OH 44129-5437 | 2020-04-01 |
| 1972131951 | Julia Manzo | Student in an Organized Health Care Education/Training Program | 7007 Powers Blvd, Parma, OH 44129-5437 | 2020-03-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819504 | Evolve Behavioral Health LLC. | Counselor | 5788 Ridge Rd Ste 3, Parma, OH 44129 | 2018-07-30 |
| 1952755688 | Lauren Williams | Speech-Language Pathologist | 6907 Brownfield Drive, Parma, OH 44129 | 2016-04-19 |
| 1447611579 | Chidozie Odigwe | Student in an Organized Health Care Education/Training Program | 7007 Powers Boulevard, Parma, OH 44129 | 2016-03-17 |
| 1700296589 | Kellie Richardson | Home Health Aide | 8402 Deerfield Drive, Parma, OH 44129 | 2014-05-02 |
| 1285982843 | John Eugene Huron | Dentist | 5657 Ridge Road, Parma, OH 44129 | 2012-08-29 |
| 1952659682 | Rima Patel | Optometrist | 7101 Lassiter Dr., Parma, OH 44129 | 2012-08-28 |
| 1740570464 | Wig Fashions Inc | Durable Medical Equipment & Medical Supplies | 5466 Pearl Road, Parma, OH 44129 | 2011-04-14 |
| 1447490883 | Adam D. Wysocki | Chiropractor | 5348 Pearl Road, Parma, OH 44129 | 2009-02-25 |
| 1184888547 | Virginia Ruth Ripepi | Registered Nurse | 8003 Dorothy Avenue, Parma, OH 44129 | 2008-07-15 |
| 1871787879 | Roger Goomber | Anesthesiology | 6305 Powers Blvd, Mac 4, Parma, OH 44129 | 2007-09-01 |
| Find all providers in zip 44129 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568900371 | James George Davis | Anesthesiologist Assistant | 4902 Wellington Ave, Parma, OH 44134-3564 | 2017-02-01 |
| 1104276963 | Nada Tayeh | Anesthesiologist Assistant | 7831 Hickory Hill Ln, Parma, OH 44130-7664 | 2016-06-13 |
| 1891922290 | Jenna Marie Mcintosh | Anesthesiologist Assistant | 7007 Powers Blvd, Parma, OH 44129-5437 | 2009-06-12 |
| 1508959834 | Brian Paul Radesic | Anesthesiologist Assistant | 7007 Powers Blvd, Parma, OH 44129-5437 | 2006-09-30 |
| 1114989449 | Doug A Marsh | Anesthesiologist Assistant | 7007 Powers Blvd, Parma, OH 44129-5437 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
| 1902347123 | Eric Klinedinst | Anesthesiologist Assistant | 2126 Murray Hill Rd Apt 1, Cleveland, OH 44106-2339 | 2017-03-20 |
| 1821452020 | Tara Hammann | Anesthesiologist Assistant | 7115 Ludlum Rd, Morrow, OH 45152-7517 | 2016-04-13 |
| 1932588399 | Bianca Shah | Anesthesiologist Assistant | 2400 N Star Ln, Avon, OH 44011-2016 | 2015-05-19 |
| 1376949198 | Amanda Price | Anesthesiologist Assistant | 5455 N Marginal Rd, Apt. 412, Cleveland, OH 44114-3937 | 2014-11-05 |
| 1518381250 | Erin Leslie | Anesthesiologist Assistant | 2195 Auburn Avenue, Cincinnati, OH 45219-2906 | 2014-02-18 |
| 1770862500 | Colleen Dwight Traud | Anesthesiologist Assistant | 1730 W. 25th St, Cleveland, OH 44113 | 2011-08-10 |
| 1134440142 | Zachary Nearman | Anesthesiologist Assistant | 32430 Pinebrook Ln, Pepper Pike, OH 44124-5953 | 2010-06-14 |
| 1114245313 | Nicholas Beastrom | Anesthesiologist Assistant | 6780 Mayfield Road, Mayfiled Heights, OH 44124-2212 | 2010-05-12 |
| 1760710735 | Trevor E Johnson | Anesthesiologist Assistant | 72 Village Way Ste 2b, Hudson, OH 44236-5127 | 2009-12-02 |
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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.