Individual provider Active NPI

Timothy Keener, CRNA

  • Certified Registered Nurse Anesthetist
  • Lima, OH
National Provider Identifier
1073934634
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-077106 Issued in AL
Practice address
2923 Lilly Dr
Lima, OH 45807-1316
Phone
(419) 909-1001
NPI assigned
Dec 30, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X COA.15480-NA OH
Certified Registered Nurse Anesthetist 367500000X 1-077106 AL Primary

Addresses

Primary practice location

2923 Lilly Dr
Lima, OH 45807-1316

Mailing address

2923 Lilly Dr
Lima, OH 45807-1316
Phone (419) 909-1001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150804003756 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789813205 Reassigns benefits to 4 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
Huntsville Hospital AnesthesiaGroup PAC ID 7315990751, 157 clinicians
Crna Services of DGHGroup PAC ID 2466502455, 29 clinicians
Athens and Limestone County Healthcare AuthorityGroup PAC ID 3870641863, 23 clinicians

Practice addresses (Care Compare)

101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone (256) 265-8120

1201 7TH St SE
Decatur, AL 35601-3337
Phone (256) 341-2000

700 W Market St
Athens, AL 35611-2457
Phone (256) 233-9292

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-077106ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Huntsville Hospital Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2015 Accepting new patients
Comprehensive Anesthesia Services PC CurrentSince Feb 1, 2020 Accepting new patients
Athens and Limestone County Healthcare Authority Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2015 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
HH Health System-Morgan Inc. Past Accepting new patients

Locations

700 W Market St
Athens, AL 35611
Phone (256) 233-9292

22454 US Highway 72
Athens, AL 35613
Phone (256) 233-9292

709 Ward Ave NE
Huntsville, AL 35801
Phone (256) 539-9471

245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

201 Governors Dr SW
Huntsville, AL 35801
Phone (256) 265-6851

8375 Highway 72 W
Madison, AL 35758
Phone (256) 265-2012

Organizations & group practices 6

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": "1388361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1073934634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 LILLY DR",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458071316",
            "telephone_number": "419-909-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 LILLY DR",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458071316",
            "telephone_number": "419-909-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENER",
        "first_name": "TIMOTHY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-30",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "COA.15480-NA",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-077106",
            "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 Jul 8, 2015; 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.