Provider Demographics
NPI:1699733444
Name:RIEW, MIEHYUN CLAIRE (CRNA)
Entity type:Individual
Prefix:
First Name:MIEHYUN
Middle Name:CLAIRE
Last Name:RIEW
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 1:190 N UNION ST
Mailing Address - Street 2:STE 104
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1369
Mailing Address - Country:US
Mailing Address - Phone:330-253-9145
Mailing Address - Fax:330-253-6222
Practice Address - Street 1:190 N UNION ST
Practice Address - Street 2:STE 104
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304
Practice Address - Country:US
Practice Address - Phone:330-253-9145
Practice Address - Fax:330-253-6222
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-154291367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH7091249Medicaid
OH730540OtherBUCKEYE COMMUNITY HLTH PL
OH100153OtherEMPLYR KAISER GROUP #
OH120743OtherKAISER PERMANENTE INDV #
OH2080224OtherEMPLYR UNITED HEALTHCARE
OH000000125744OtherANTHEM BCBS INDV #
OH0751253Medicaid
OH34-0891295OtherEMPLOYER FEDERAL TAX ID #
OH100153OtherEMPLYR KAISER GROUP #
OH730540OtherBUCKEYE COMMUNITY HLTH PL