Provider Demographics
NPI:1831142272
Name:SCHAPER, KATHLEEN M (CRNA)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:M
Last Name:SCHAPER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MRS
Other - First Name:KATHLEEN
Other - Middle Name:M
Other - Last Name:MITCHELL-SCHAPER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNA
Mailing Address - Street 1:10804 WRIGHT RD NW
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-7617
Mailing Address - Country:US
Mailing Address - Phone:330-256-4852
Mailing Address - Fax:
Practice Address - Street 1:10804 WRIGHT RD NW
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-7617
Practice Address - Country:US
Practice Address - Phone:330-256-4852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN236837367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000328573OtherANTHEM
OH0855356Medicaid
OH8213289Medicare PIN
OH8213285Medicare PIN
SC8213286Medicare ID - Type Unspecified
OH0855356Medicaid