VIKTOR LAVOR (SRNA) – Registered Nurse, NPI 1134722010

VIKTOR LAVOR (SRNA) is a healthcare provider. based in Youngstown, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials SRNA. They hold a License No. 144619 (ID). The NPI Number for VIKTOR LAVOR (SRNA) is 1134722010

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
VIKTOR LAVOR (SRNA)
NPI
1134722010
Phone
(916) 220-2405
Address
165 S EDGEHILL AVE
Enumeration Date
20 November 2020
Last Update Date
4 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083812222
Graduation Year
2022 (4 years ago)
PAC ID
8426421991
Group Practice PAC ID
2668385287
Professional Enrollment ID
I20230302002940
Address ID
ID837126241BO190XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

Provider Addresses for VIKTOR LAVOR (SRNA)

  • 165 S EDGEHILL AVE

    YOUNGSTOWN, OH 445153232

    Phone: (916) 220-2405

    Type: Mailing

  • 24009 WAGNER RD

    CALDWELL, ID 836078801

    Phone: (916) 220-2405

    Type: Mailing

  • 2537 W STATE ST STE 200

    BOISE, ID 837022200

    Phone: (208) 593-2202

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230302002940ICertified Registered Nurse Anesthetist (Crna)IDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00914Anesthesia for removal of prostate including use of an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 44515)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668385287View full group profile
NameSpecialtyState
-ID
Certified Registered Nurse Anesthetist (Crna)SC
A N E S T H E S I O L O G YID
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YTN
Certified Registered Nurse Anesthetist (Crna)ID
A N E S T H E S I O L O G YMN
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)ID
-ID

Reviews

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Frequently asked questions

What identifier follows VIKTOR LAVOR (SRNA) across health systems?
The NPI 1134722010 uniquely identifies VIKTOR LAVOR (SRNA) in U.S. healthcare data.
Should I treat VIKTOR LAVOR (SRNA) as an active provider?
Patients and plans typically see VIKTOR LAVOR (SRNA) as active in the national extract.
How should patients interpret VIKTOR LAVOR (SRNA)'s specialty?
The extract shows Registered Nurse for VIKTOR LAVOR (SRNA). Clinical services aligned with this taxonomy classification.
Can patients visit VIKTOR LAVOR (SRNA) in Youngstown, Ohio?
For routing, start with Youngstown, Ohio for VIKTOR LAVOR (SRNA), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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