Individual
PETER WHITEHEAD KEARNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
425 W 5TH ST, EAST LIVERPOOL, OH 43920-2405
(330) 386-2017
Mailing address
4135 BOARDMAN CANFIELD RD, SUITE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN251756-1
OH
367500000X
Certified Registered Nurse Anesthetist
RN354157L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017673070004
—
PA
01
—
12215037
CAQH
—
01
—
218848TV6
MEDICARE PTAN
PA
05
—
2236066
—
OH
01
—
2615680
HIGHMARK BCBS
PA
01
—
8226988
MEDICARE PTAN
OH
01
—
P01613589
MEDICARE RAILROAD
OH
Enumeration date
08/17/2006
Last updated
04/21/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us