Individual provider Active NPI

Elizabeth Moffitt, CRNA

  • Certified Registered Nurse Anesthetist
  • Columbus, OH
National Provider Identifier
1124195441
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
76187 Issued in TN
Practice address
5151 Reed Rd
Suite 225-C
Columbus, OH 43220-2595
Phone
(614) 457-2306
Fax
(614) 884-0776
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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 76187 TN Primary

Addresses

Primary practice location

5151 Reed Rd
Suite 225-C
Columbus, OH 43220-2595

Mailing address

5151 Reed Rd
Suite 225-C
Columbus, OH 43220-2595
Phone (614) 457-2306

Other practice location 1

3400 Olentangy River Rd
Columbus, OH 43202-1523
Phone (614) 754-5500

Other identifiers 1

IdentifierTypeStateIssuer
2856002MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ohio.gastro@directaddress.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080904000011 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416059159 Reassigns benefits to 10 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76187TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Cincinnati, Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2022 Accepting new patients
Amsurg Toledo Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 6, 2022 Accepting new patients
New Albany Orthopedic Anesthesia LLC CurrentSince Sep 1, 2022 Accepting new patients
Ohiohealth Corporation Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients
South Central Ohio Anesthesia LLC CurrentSince Oct 21, 2022 Accepting new patients
Ohiohealth Corporation CurrentSince May 1, 2023 Accepting new patients
Arlington Anesthesia Partners LLC CurrentSince Nov 1, 2022 Accepting new patients
Genesis Anesthesia Providers, LLC CurrentSince Jul 22, 2022 Accepting new patients
Anesthesia Group Practice, Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 Accepting new patients
Ophthalmic Anesthesia Associates Inc CurrentSince Apr 8, 2022 Accepting new patients
Deperro Plastic Surgery, LLC Past Accepting new patients
Platteville Family Resource Center Past Accepting new patients
Platteville Family Resource Center Inc PastSince Aug 1, 2003 Accepting new patients

Locations

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

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

111 S Grant Ave
Fl 3
Columbus, OH 43215
Phone (614) 566-9871

Dept L3652
Columbus, OH 43260

4845 Knightsbridge Blvd
Ste 110
Columbus, OH 43214
Phone (614) 273-0400

3600 Stelzer Rd
Ste 100
Columbus, OH 43219
Phone (614) 255-2900

5965 E Broad St
Ste 460
Columbus, OH 43213
Phone (614) 751-4080

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

L3800
Columbus, OH 43260

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

7500 Hospital Dr
Dublin, OH 43016
Phone (614) 544-8000

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

5005 Parkcenter Ave
Dublin, OH 43017
Phone (614) 932-9548

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

500 London Ave
Marysville, OH 43040
Phone (740) 420-8451

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

6520 W Campus Oval
New Albany, OH 43054
Phone (614) 413-2233

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

4841 Monroe St
Ste 111
Toledo, OH 43623
Phone (419) 474-3949

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

2907 Bell St
Zanesville, OH 43701
Phone (740) 455-6300

2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1124195441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 REED RD",
            "address_2": "SUITE 225-C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202595",
            "telephone_number": "614-457-2306",
            "fax_number": "614-884-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 REED RD",
            "address_2": "SUITE 225-C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202595",
            "telephone_number": "614-457-2306",
            "fax_number": "614-884-0776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Olentangy River Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432021523",
            "country_code": "US",
            "telephone_number": "614-754-5500",
            "fax_number": "614-754-5501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOFFITT",
        "first_name": "ELIZABETH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "76187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2856002",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ohio.gastro@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3400 Olentangy River Rd",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432021523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.