Individual provider Active NPI

Storm Wayne Sharp, CRNA

  • Anesthesiology Physician
  • Lima, OH
National Provider Identifier
1063931038
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
26NJ15236100 Issued in NJ
Practice address
730 W Market St
Lima, OH 45801-4602
Phone
(419) 227-3361
Fax
(419) 228-3352
NPI assigned
Sep 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X CRNA019574 OH
Certified Registered Nurse Anesthetist 367500000X LE-00020509 OH
Anesthesiology Physician 207L00000X 26NJ15236100 NJ Primary

Addresses

Primary practice location

730 W Market St
Lima, OH 45801-4602

Mailing address

Dept# 42065 PO Box 650823
Dallas, TX 75265
Phone (602) 242-4484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NJ, NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20201021001435 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214202670 Reassigns benefits to 1 organization
I20250506001108 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214202670 Reassigns benefits to 2 organizations
I20251117002202 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214202670 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Park Slope Anesthesia Associates PCGroup PAC ID 3870483860, 67 clinicians

Practice addresses (Care Compare)

506 6TH St
Brooklyn, NY 11215-3609
Phone (718) 780-3279

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15236100NJMDAnesthesiology Physician
CRNA019574OHMDCertified Registered Nurse Anesthetist
LE-00020509OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Centurion Midtown Anesthesia PLLC Anesthesiology CurrentSince Nov 20, 2025 Accepting new patients
Anesthesia Partners of Arizona LLC Anesthesiology CurrentSince Sep 16, 2020 Accepting new patients
Rwjbh Observation Associates LLC Anesthesiology CurrentSince Feb 14, 2025 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Anesthesiology CurrentSince Feb 14, 2025 Accepting new patients
Park Slope Anesthesia Associates PC Anesthesiology CurrentSince Aug 9, 2025 Accepting new patients

Locations

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

11129 Queens Blvd
Forest Hills, NY 11375
Phone (718) 275-8900

305 E 47th St
New York, NY 10017
Phone (212) 203-8744

22 Ibm Rd
Ste 210
Poughkeepsie, NY 12601

2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1063931038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT# 42065 PO BOX 650823",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75265",
            "telephone_number": "602-242-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014602",
            "telephone_number": "419-227-3361",
            "fax_number": "419-228-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "STORM",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-11",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "CRNA019574",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "LE-00020509",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "26NJ15236100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.