Provider Demographics
NPI:1518926831
Name:TOMAS, GARALYNN V (CRNA)
Entity Type:Individual
Prefix:
First Name:GARALYNN
Middle Name:V
Last Name:TOMAS
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 1:32540 OAKHURST CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039-2374
Mailing Address - Country:US
Mailing Address - Phone:440-479-1353
Mailing Address - Fax:440-353-9255
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:2006-03-23
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN193558367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000357511OtherANTHEM
OH0961400Medicaid
OH371420179003OtherMEDICAL MUTUAL
OHRM830242OtherOH DRIVER'S LICENSE
OH371420179003OtherMEDICAL MUTUAL