Provider Demographics
NPI:1003814880
Name:SCOTT, JOYCE ALEXIS (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:ALEXIS
Last Name:SCOTT
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MS
Other - First Name:JOYCE
Other - Middle Name:ALEXIS
Other - Last Name:SADOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-444-2200
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH236058367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH430066519OtherRAILROAD MEDICARE
MI104357053OtherMICHIGAN MEDICAID
OH2300058Medicaid
MI104357053OtherMICHIGAN MEDICAID
OH8229382Medicare PIN
OH8229386Medicare PIN
OH8229381Medicare PIN