Individual provider Active NPI

Tamara D Whitt, SRNA

  • Certified Registered Nurse Anesthetist
  • Dayton, OH
National Provider Identifier
1063856540
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN336508 Issued in OH
Practice address
2222 Philadelphia Dr
Dayton, OH 45406-1813
Phone
(937) 734-2612
Fax
(937) 567-4163
NPI assigned
Apr 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X RN336508 OH
Certified Registered Nurse Anesthetist 367500000X RN336508 OH Primary

Addresses

Primary practice location

2222 Philadelphia Dr
Dayton, OH 45406-1813

Mailing address

PO Box 640446
Cincinnati, OH 45264-0446
Phone (717) 263-5562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140304002100 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 4385874783 Reassigns benefits to 4 organizations
I20220609001709 HI Practitioner - Certified Registered Nurse Anesthetist (Crna) 4385874783 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pec Anesthesia LLCGroup PAC ID 3870748023, 19 clinicians

Practice addresses (Care Compare)

1029 Makolu St
Suite H
Pearl City, HI 96782-2890
Phone (808) 456-6420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN336508OHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Radius Anesthesia of Ohio, LLC CurrentSince Mar 3, 2021 Accepting new patients
Elyria Anesthesia Incorporated CurrentSince Feb 1, 2014 Accepting new patients
Safe Anesthesia Geneva LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 19, 2020 Accepting new patients
Pec Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 9, 2022 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Jul 1, 2015 Accepting new patients
Pacific Anesthesia, Inc CurrentSince Apr 26, 2022 Accepting new patients
Consolidated Anesthesiologists Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Associates Northwest LLC Past Accepting new patients

Locations

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

321 N Kuakini St
Ste 306
Honolulu, HI 96817
Phone (808) 545-1557

1401 S Beretania St
Ste 200
Honolulu, HI 96814
Phone (808) 312-6700

1029 Makolu St
Ste H
Pearl City, HI 96782
Phone (808) 456-6420

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

44 Blaine Ave
Cleveland, OH 44146
Phone (330) 528-3593

11100 Euclid Ave
Cleveland Heights, OH 44106

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

860 E Broad St
Ste I
Elyria, OH 44035
Phone (440) 323-8458

870 W Main St
Geneva, OH 44041
Phone (440) 415-0258

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1063856540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640446",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452640446",
            "telephone_number": "717-263-5562",
            "fax_number": "717-263-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 PHILADELPHIA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454061813",
            "telephone_number": "937-734-2612",
            "fax_number": "937-567-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITT",
        "first_name": "TAMARA",
        "middle_name": "D",
        "credential": "SRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "RN336508",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN336508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.