Provider Demographics
NPI:1245222579
Name:DININNY, NEVIA (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:NEVIA
Middle Name:
Last Name:DININNY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MS
Other - First Name:NEVIA
Other - Middle Name:
Other - Last Name:DENK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:778 COY LN
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-2680
Mailing Address - Country:US
Mailing Address - Phone:440-247-8147
Mailing Address - Fax:
Practice Address - Street 1:24025 COMMERCE PARK
Practice Address - Street 2:SURGCENTER OF CLEVELAND
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5823
Practice Address - Country:US
Practice Address - Phone:216-839-1800
Practice Address - Fax:216-839-1762
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH211087367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000221204OtherUNISON
OH7446577OtherAETNA
OH750526OtherBUCKEYE
OH0583328OtherBCMH
OH2310752Medicaid
OH000000515986OtherANTHEM
OH363484OtherWELLCARE MEDICAID
OH750526OtherBUCKEYE
OHDI8233473Medicare PIN