Active NPI
Matthew J Aydt, CRNA
- Certified Registered Nurse Anesthetist
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28135236A
- Practice address
- 2 Columbia Dr
Suite A327
Tampa, FL 33606-3508 - Phone
- (813) 844-4116
- Fax
- (813) 844-4972
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 28135236A | IN | Primary |
Addresses
Primary practice location
2 Columbia Dr
Suite A327
Tampa, FL 33606-3508
Mailing address
730 Pioneer LN
Calvert City, KY 42029-9116
Phone (270) 898-8944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (270) 575-2100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28135236A | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Kentucky, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Apex Anesthesia Partners, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Michigan Gulf to Bay Anesthesiology Associates PSC | Past | Accepting new patients | |
| Murray Anesthesia Group, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Florida Gulf-to-Bay Anesthesiology Associates, LLC | Past | Accepting new patients |
Locations
1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100
1000 Breckenridge St
Ste 100
Owensboro, KY 42303
Phone (270) 683-2751
2507 Broadway St
Paducah, KY 42001
Phone (270) 442-8228
2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180
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
- Paducah, KY
- NPI 1902373772
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1386938900
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Evansville, IN
- NPI 1083665426
-
- Anesthesiology Physician
- Lake Orion, MI
- NPI 1184839839
-
- Anesthesiology Physician
- Murray, KY
- NPI 1871533398
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1730264128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1114936549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 PIONEER LN",
"city": "CALVERT CITY",
"state": "KY",
"postal_code": "420299116",
"telephone_number": "270-898-8944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 COLUMBIA DR",
"address_2": "SUITE A327",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063508",
"telephone_number": "813-844-4116",
"fax_number": "813-844-4972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYDT",
"first_name": "MATTHEW",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28135236A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.