Dr. Brian Paul Radesic, CRNA, DNP
Anesthesiologist Assistant in Parma, OH. Individual provider (NPI-1).
NPI number1508959834
StatusActive
Last updated in NPPESApr 2, 2020
Details
- NPI
- 1508959834
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brian Paul Radesic
- Credential
- CRNA, DNP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 30, 2006
- Certification date
- Apr 2, 2020
- Last updated
- Apr 2, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- 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 | APRN.CRNA.00960 | OH | Yes |
Practice location
7007 Powers BlvdParma, OH 44129-5437
Phone 440-743-3000
Mailing address
7757 Auburn Rd Ste 15Painesville, OH 44077-9604
Phone 440-350-0832 · Fax 440-579-0191
Other practice locations
36000 Euclid Ave
Willoughby, OH 44094-4625
Willoughby, OH 44094-4625
Phone 440-350-0832 · Fax 440-579-0191
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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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- Jacob K Rasanow, CAANPI 1124476924
- Nada TayehNPI 1104276963
All 5 Anesthesiologist Assistant providers in Parma · All 2,047 providers in Parma
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