Patty A. Moomaw, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APRNCRNA00718 Issued in OH

Practice address

410 W 10TH Ave
Columbus, OH 43210-1240

Phone

(614) 293-8487

Fax

(614) 293-8153

NPI assigned

Apr 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Center Anesthesia Services LLCGroup PAC ID 6406373935, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eye Center Anesthesia Services, LLC

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1760292858
  Medicare reassignment Care Compare group NPD
• Integrated Pain Solutions Incorporated

  • Interventional Pain Medicine Physician
  • Columbus, OH
  • NPI 1568639037
  Medicare reassignment NPD
• Ophthalmic Anesthesia Associates Inc

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1023069515
  Medicare reassignment NPD
• Integrated Pain Solutions Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Fairfield, OH
  • NPI 1790535177
  NPD
• Ips ASC, LLC

  • Ambulatory Surgical Clinic/Center
  • Columbus, OH
  • NPI 1518379205
  NPD
• Rural Anesthesia Management, LLC

  • Anesthesiology Physician
  • Marysville, OH
  • NPI 1437108164
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1043275035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 570",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021579",
            "telephone_number": "614-293-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W 10TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101240",
            "telephone_number": "614-293-8487",
            "fax_number": "614-293-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOMAW",
        "first_name": "PATTY",
        "middle_name": "A.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRNCRNA00718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0849541",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jo A Moody
• Mitzi Moody, MSW
• Hinda Mooge, RN
• Ubah M Mooge
• Melissa Anne Moomaw
• Moon Healthcare Services LLC
• Moon Home Healthcare, LLC
• Brian Christopher Moon, DO
• Brynn Moon, PA-C
• Kelly Moon, CRNA

• Certified Registered Nurse Anesthetist in Columbus, OH
• Providers in Columbus, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.