Active NPI
Ohio River Anesthesia
- Certified Registered Nurse Anesthetist
- New Albany, IN
National Provider Identifier
1053582759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- OHIO RIVER ANESTHESIA
- Practice address
- 3605 Northgate CT
Suite 101
New Albany, IN 47150-6400 - Phone
- (502) 753-4949
- NPI assigned
- Mar 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Roussel, CRNA
- Title
- Administrator
- Phone
- (502) 243-4749
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
3605 Northgate CT
Suite 101
New Albany, IN 47150-6400
Mailing address
PO Box 635962
Cincinnati, OH 45263-5962
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205971200000",
"number": "1053582759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635962",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 NORTHGATE CT",
"address_2": "SUITE 101",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471506400",
"telephone_number": "502-753-4949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OHIO RIVER ANESTHESIA",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-20",
"last_updated": "2008-03-20",
"status": "A",
"authorized_official_last_name": "ROUSSEL",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "502-243-4749",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.