Provider Demographics
NPI:1598766610
Name:PHYTHYON, EVE KAREN (CRNA)
Entity Type:Individual
Prefix:
First Name:EVE
Middle Name:KAREN
Last Name:PHYTHYON
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MRS
Other - First Name:EVE
Other - Middle Name:KAREN
Other - Last Name:KANEFSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA MS
Mailing Address - Street 1:3605 WARRENSVILLE CENTER ROAD
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:SHAKER HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122
Mailing Address - Country:US
Mailing Address - Phone:216-286-6260
Mailing Address - Fax:216-286-6341
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106
Practice Address - Country:US
Practice Address - Phone:216-844-3771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN262200367500000X
MDR093446367500000X
NC7333367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000562764OtherANTHEM
OH5506624OtherAETNA
OH0583328OtherBCMH
OH2064911Medicaid
OH2064911Medicaid