Jacob K Rasanow, CAA
Anesthesiologist Assistant in Parma, OH. Individual provider (NPI-1).
NPI number1124476924
StatusActive
Last updated in NPPESMar 31, 2020
Details
- NPI
- 1124476924
- Entity type
- Individual (NPI-1)
- Name
- Jacob K Rasanow
- Credential
- CAA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2016
- Certification date
- Mar 31, 2020
- Last updated
- Mar 31, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ANESTHESIOLOGY ASSISTANT
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 67.000283 | OH | Yes |
Practice location
7007 Powers BlvdParma, OH 44129-5437
Phone 440-350-0832 · Fax 440-579-0191
Mailing address
7757 Auburn RdSte 15
Painesville, OH 44077-9604
Phone 440-350-0832 · Fax 440-354-7420
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Anesthesiologist Assistant providers in Parma, OH
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- Nada TayehNPI 1104276963
All 5 Anesthesiologist Assistant providers in Parma · All 2,047 providers in Parma
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