Individual provider Active NPI

Timothy King, CRNA

  • Certified Registered Nurse Anesthetist
  • Chillicothe, OH
National Provider Identifier
1073153508
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
127184 Issued in OH
Practice address
272 Hospital Rd
Chillicothe, OH 45601-9031
Phone
(740) 779-7540
NPI assigned
Jan 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 127184 OH Primary

Addresses

Primary practice location

272 Hospital Rd
Chillicothe, OH 45601-9031

Mailing address

672 Brevard Cir
Pickerington, OH 43147-7875
Phone (740) 279-9918

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200316001656 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012345598 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Services of Greater Dayton LLCGroup PAC ID 1658520747, 24 clinicians
Premier Anesthesia of Ohio LLCGroup PAC ID 3779714258, 123 clinicians
South Central Ohio Anesthesia LLCGroup PAC ID 3678604493, 6 clinicians

Practice addresses (Care Compare)

4235 Indian Ripple Rd
Suite 110
Beavercreek, OH 45440-3265
Phone (937) 427-7800

5300 N Meadows Dr
Grove City, OH 43123-2546
Phone (614) 234-5000

6001 E Broad St
Columbus, OH 43213-1502
Phone (678) 690-7808

601 State Route 664 N
Suite 114
Logan, OH 43138-8541
Phone (740) 380-8090

793 W State St
Columbus, OH 43222-1551
Phone (877) 742-0399

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
127184OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Ohio Anesthesia LLC CurrentSince Jul 30, 2024 Accepting new patients
Adena Medical Group LLC CurrentSince Mar 1, 2020 Accepting new patients
Sandusky Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 30, 2022 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 5, 2023 Accepting new patients
Premier Anesthesia of Ohio LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
Ams Ohio PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 14, 2023 Accepting new patients
Anesthesia Services of Greater Dayton, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2022 Accepting new patients

Locations

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

4235 Indian Ripple Rd
Ste 110
Dayton, OH 45440
Phone (937) 427-7800

4235 Indian Ripple Rd
Dayton, OH 45440
Phone (513) 217-2094

81 Sylvania Dr
Dayton, OH 45440
Phone (937) 431-9531

4930 Bradenton Ave
Dublin, OH 43017
Phone (614) 336-9000

601 State Route 664 N
Ste 114
Logan, OH 43138
Phone (740) 380-8090

1167 Independence Ave
Marion, OH 43302
Phone (614) 352-6479

5100 W Broad St
New Rome, OH 43228
Phone (614) 544-1000

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

955 Eastwind Dr
Ste 150
Westerville, OH 43081
Phone (614) 261-0456

465 N Cleveland Ave
Ste 150
Westerville, OH 43082
Phone (614) 562-1546

Organizations & group practices 7

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 3

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": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1073153508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 BREVARD CIR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477875",
            "telephone_number": "740-279-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 HOSPITAL RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019031",
            "telephone_number": "740-779-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "TIMOTHY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "127184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena@adena.medicity.net",
            "affiliation": "N",
            "address_1": "272 Hospital Rd",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456019031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.