Individual provider Active NPI

Tamara E. Kolodzik-Kaye, CRNA

  • Certified Registered Nurse Anesthetist
  • Dayton, OH
National Provider Identifier
1144287095
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
COA.03206-NA Issued in OH
Practice address
One Children's Plaza
Children's Anesthesia Group, Inc.
Dayton, OH 45404-1815
Phone
(937) 641-3350
Fax
(937) 641-6145
NPI assigned
Apr 26, 2006
Last updated
Dec 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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 COA.03206-NA OH Primary

Addresses

Primary practice location

One Children's Plaza
Children's Anesthesia Group, Inc.
Dayton, OH 45404-1815

Mailing address

One Children's Plaza
Children's Anesthesia Group, Inc.
Dayton, OH 45404-1815
Phone (937) 641-3350

Other identifiers 1

IdentifierTypeStateIssuer
0910303MedicaidOH

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
COA.03206-NAOHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Anesthesia Associates Inc CurrentSince Jun 13, 2016 Accepting new patients
Premier Anesthesiologists, LTD. CurrentSince Oct 1, 2016 Accepting new patients
Pediatric Anesthesia Associates of Dayton, Inc. Past Accepting new patients
Children's Anesthesia Group Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

262 Neil Ave
Ste 500
Columbus, OH 43215
Phone (614) 827-6600

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

930 Bethel Rd
Columbus, OH 43214
Phone (614) 451-0500

L3800
Columbus, OH 43260

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1144287095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE CHILDREN'S PLAZA",
            "address_2": "CHILDREN'S ANESTHESIA GROUP, INC.",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041815",
            "telephone_number": "937-641-3350",
            "fax_number": "937-641-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE CHILDREN'S PLAZA",
            "address_2": "CHILDREN'S ANESTHESIA GROUP, INC.",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041815",
            "telephone_number": "937-641-3350",
            "fax_number": "937-641-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLODZIK-KAYE",
        "first_name": "TAMARA",
        "middle_name": "E.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "COA.03206-NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0910303",
            "state": "OH"
        }
    ],
    "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 Dec 22, 2014; 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.