Organization
CROSS COUNTRY ANESTHESIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LINCOLN DANIEL GISEL CRNA (PRESIDENT)
(216) 932-4522
Entity
Organization
Contact information
Practice address
2533 DERBYSHIRE RD, CLEVELAND HTS, OH 44106-3230
(216) 932-4522
(216) 928-0141
Mailing address
2533 DERBYSHIRE RD, CLEVELAND HTS, OH 44106-3230
(216) 932-4522
(216) 928-0141
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
050966
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00216277
RAILROAD MEDICARE
OH
Enumeration date
02/16/2007
Last updated
08/22/2020
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