WALTER OMIECINSKI (NPI# 1255498283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255498283 |
| Entity Type | Individual |
| Full Name | WALTER OMIECINSKI |
| Credential | CRNA |
| Practice Address |
6847 N Chestnut St Ravenna OH 44266-3929 |
| Mailing Address |
8434 Melody Ln Macedonia OH 44056-1714 |
| Practice Telephone | 3302970811 |
| Mailing Telephone | 3302970811 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN098258 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0856935 | 05 | |
| OH | ANTHEM PROVIDER NUMBER | 000000249794 | 01 |
| Street Address |
6847 N CHESTNUT ST |
| City | RAVENNA |
| State | OH |
| Zip Code | 44266-3929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720078306 | Stephanie J Teodosio | Occupational Therapist | 6847 N Chestnut St, Suite 100, Ravenna, OH 44266-3929 | 2005-10-25 |
| 1356949010 | Kimberly Sue Neubig | Licensed Practical Nurse | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-10-15 |
| 1467059956 | Korena L Mulloy | Licensed Practical Nurse | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-10-07 |
| 1104439553 | Temitope A Adeleke | Nurse Practitioner | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-08-26 |
| 1811505175 | Lindsay Hall | Pharmacist | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-07-22 |
| 1568089175 | James Ferrell | Pharmacist | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-06-30 |
| 1437774544 | Glen Robert Williams Jr. | Registered Nurse | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-06-15 |
| 1497379408 | Lauren R Lewis | Nurse Practitioner | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-06-04 |
| 1780208140 | Alexis Hughley | Licensed Practical Nurse | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-06-02 |
| 1811511488 | Carrie Reedy | Licensed Practical Nurse | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-05-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407409501 | Jeffrey Michael Jones | Hearing Instrument Specialist | 131 E. Hain St Beltone Hearing Care Center, Ravenna, OH 44266 | 2019-07-18 |
| 1285286443 | Robert Ailes Lax | Counselor | 246 S. Chestnut St., Ravenna, OH 44266 | 2019-07-09 |
| 1841792314 | Jason Troyer | Case Manager/Care Coordinator | 3920 Lover's Lane, Ravenna, OH 44266 | 2018-03-01 |
| 1316446370 | Jacquelin Grace Claren | Case Manager/Care Coordinator | 3920 Lovers Lane, Ravenna, OH 44266 | 2018-02-06 |
| 1164921318 | Tammy M Morris | Counselor | 4771 Washington Ave., Ravenna, OH 44266 | 2018-02-02 |
| 1306360219 | Megan Kathryn Marsh | Nurse Practitioner | 3215 Menough Rd, Ravenna, OH 44266 | 2017-08-01 |
| 1063875110 | Mary Kathryn Revello | Home Health Aide | 103 N.scycamore St, Ravenna 44266, OH 44266 | 2016-04-05 |
| 1396114302 | Theresa Brooks Kotlar | Registered Nurse | 7174 Colonial Place, Ravenna, OH 44266 | 2015-09-20 |
| 1811384118 | Okap Kwon Md Inc | Internal Medicine | 964 East Main Street, Ravenna, OH 44266 | 2015-04-24 |
| 1104223783 | Julie Winkler | Speech-Language Pathologist | 639 W. Main St, Ravenna, OH 44266 | 2014-11-26 |
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| 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 |
|---|---|---|---|---|
| 1861918799 | Amber Elise Bulcroft | Nurse Anesthetist, Certified Registered | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2017-08-22 |
| 1720364342 | Tanya J. Wilhelm | Nurse Anesthetist, Certified Registered | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2011-10-27 |
| 1578873188 | Charles R Barton | Nurse Anesthetist, Certified Registered | 6847 N Chestnut St, Ravenna, OH 44266-0000 | 2010-10-15 |
| 1962569947 | Jeffrey Bisesi | Nurse Anesthetist, Certified Registered | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2007-01-02 |
| 1083771075 | Kimberley Eaton | Nurse Anesthetist, Certified Registered | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2007-01-02 |
| 1770640773 | Rosanna Lugenbeal | Nurse Anesthetist, Certified Registered | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2007-01-02 |
| 1881751899 | Alvin Osten | Nurse Anesthetist, Certified Registered | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2007-01-02 |
| 1902963911 | Susan Lyden | Nurse Anesthetist, Certified Registered | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2007-01-02 |
| 1255498291 | Michael Ardale | Nurse Anesthetist, Certified Registered | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2007-01-02 |
| 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.