Individual provider Active NPI

Ritchie Dean Grissett

  • Certified Registered Nurse Anesthetist
  • Beavercreek, OH
National Provider Identifier
1124010103
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN.270351 Issued in OH
Practice address
4194 Winter Forest Cir
Beavercreek, OH 45432-4122
Phone
(937) 431-8188
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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 RN.270351 OH Primary

Addresses

Primary practice location

4194 Winter Forest Cir
Beavercreek, OH 45432-4122

Mailing address

4194 Winter Forest Cir
Beavercreek, OH 45432-4122
Phone (937) 694-8025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.270351OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiology Consultants of Toledo, Inc Past Accepting new patients
Licking Memorial Professional Corporation Past Accepting new patients
Consultants in Anesthesiology, Inc Past Accepting new patients
Huntingdon Valley Anesthesia Associates Past Accepting new patients
Vaughan Regional Medical Center LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
James F Noone MD PC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1124010103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4194 WINTER FOREST CIR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454324122",
            "telephone_number": "937-694-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4194 WINTER FOREST CIR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454324122",
            "telephone_number": "937-431-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISSETT",
        "first_name": "RITCHIE",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN.270351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.