Provider Demographics
NPI:1215040548
Name:YANIK-KARNES, MARCIA A (CRNA)
Entity Type:Individual
Prefix:MR
First Name:MARCIA
Middle Name:A
Last Name:YANIK-KARNES
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7333 SMITHS MILL ROAD
Mailing Address - Street 2:NEW ALBANY SURGICAL HOSPITAL
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054
Mailing Address - Country:US
Mailing Address - Phone:614-775-6340
Mailing Address - Fax:
Practice Address - Street 1:7333 SMITHS MILL ROAD
Practice Address - Street 2:NEW ALBANY SURGICAL HOSPITAL
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054
Practice Address - Country:US
Practice Address - Phone:614-775-6340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH154394163W00000X
IL035204367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0763624Medicaid
OH8200564Medicare ID - Type Unspecified