Active NPI
Trey Overla
- Certified Registered Nurse Anesthetist
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN.CRNA.0020416
- Practice address
- 405 W Grand Ave
Dayton, OH 45405-7538 - Phone
- (937) 723-3200
- NPI assigned
- Jan 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN.CRNA.0020416 | OH | Primary |
Addresses
Primary practice location
405 W Grand Ave
Dayton, OH 45405-7538
Mailing address
216 Hamilton St
West Milton, OH 45383-1627
Phone (937) 477-2018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 998-4575
1118 Fairington Dr
Sidney, OH 45365-8913
Phone (937) 492-3755
3535 Pentagon Blvd
Beavercreek, OH 45431-1705
Phone (937) 702-4000
Hospital & facility affiliations
- Kettering Health Dayton
- Lima Memorial Health System
- Soin Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Professional Corporation | Current | Accepting new patients | |
| Dayton Anesthesia & Pain Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lima Memorial Professional Corporation | Current | Accepting new patients | |
| Peak Anesthesia Management LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000
L3982
Columbus, OH 43260
405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200
1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335
1118 Fairington Dr
Sidney, OH 45365
Phone (937) 492-3755
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.
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1629401898
Nurse Anesthetist, Certified Registered
-
- Specialist
- Lima, OH
- NPI 1457474900
-
- Certified Registered Nurse Anesthetist
- Sidney, OH
- NPI 1427856236
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Lima, OH
- NPI 1871867663
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beavercreek, OH
- NPI 1760764849
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1073264602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 HAMILTON ST",
"city": "WEST MILTON",
"state": "OH",
"postal_code": "453831627",
"telephone_number": "937-477-2018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W GRAND AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454057538",
"telephone_number": "937-723-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERLA",
"first_name": "TREY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-14",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "APRN.CRNA.0020416",
"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 Jan 14, 2022; 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.