Active NPI
Kathleen E Gibbons, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Middleburg Heights, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 166540
- Practice address
- 15345 Bagley Rd
Middleburg Heights, OH 44130-4825 - Phone
- (440) 743-8400
- Fax
- (440) 743-8401
- NPI assigned
- Aug 10, 2005
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | 166540 | OH | Primary |
Addresses
Primary practice location
15345 Bagley Rd
Middleburg Heights, OH 44130-4825
Mailing address
PO Box 567
Chagrin Falls, OH 44022-0567
Phone (216) 464-5160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0769440 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22715 Fairview Ctr Dr
Fairview Park, OH 44126-3608
Phone (330) 810-5797
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166540 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transformative Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northern Ohio Eye Consultants Inc | Current | Accepting new patients | |
| Uh North Ridgeville Endoscopy Center LLC | Current | Accepting new patients | |
| Northern Ohio Eye Center, Inc. | Current | Accepting new patients | |
| Northern Ohio Eye Consultants Inc | Current | Accepting new patients | |
| Ohio Anesthesia Group, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Cleveland Clinic Foundation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Shore Anesthesia Limited, LLC | Current | Accepting new patients | |
| Memorial Hospital of Union County | Past | Accepting new patients | |
| Rural Anesthesia Management, LLC | Past | Accepting new patients | |
| Greenwich Anesthesiology Associates, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Northcoast Anesthesia Providers | Past | Accepting new patients |
Locations
6880 W Snowville Rd
Ste 215
Brecksville, OH 44141
Phone (440) 526-1974
7001 S Edgerton Rd
Ste B
Brecksville, OH 44141
Phone (440) 526-1974
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
2740 Carnegie Ave
Cleveland, OH 44115
Phone (216) 621-6132
3700 Park East Dr
Ste 100
Cleveland, OH 44122
Phone (216) 593-7180
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
22715 Fairview Center Dr
Fairview Park, OH 44126
Phone (330) 810-5797
12300 McCracken Rd
Garfield Hts, OH 44125
Phone (216) 581-0500
29017 Cedar Rd
Lyndhurst, OH 44124
Phone (440) 255-9920
1000 E Washington St
Medina, OH 44256
Phone (330) 654-1185
970 E Washington St
Ste 203
Medina, OH 44256
Phone (330) 721-4955
15345 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 743-8000
19250 Bagley Rd
Ste 101
Middleburg Heights, OH 44130
Phone (440) 826-0384
32800 Lorain Rd
Ste 2400
North Ridgeville, OH 44039
Phone (440) 406-5562
7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000
12301 Snow Rd
Parma Heights, OH 44130
Phone (216) 285-8810
6355 Pearl Rd
Parma Heights, OH 44130
Phone (440) 886-1010
5319 Hoag Dr
Sheffield Village, OH 44035
Phone (440) 930-6020
29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046
850 Columbia Rd
Ste 200
Westlake, OH 44145
36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166
Interoperability endpoints
- kgibbons243014@ehrdirect.uhhospitals.org
Organizations & group practices 12
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.
-
- Certified Registered Nurse Anesthetist
- Fairview Park, OH
- NPI 1144111204
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Westlake, OH
- NPI 1730460205
-
- Ophthalmology Physician
- Parma Heights, OH
- NPI 1508964370
-
dba Cleveland Eye Clinic
- Ophthalmology Physician
- Cleveland, OH
- NPI 1386752558
-
- Anesthesiology Physician
- Canton, OH
- NPI 1639348113
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- North Ridgeville, OH
- NPI 1396213294
-
- Optometrist
- Lorain, OH
- NPI 1629057716
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
Nurse Anesthetist, Certified Registered
-
dba Memorial Urgent Care
- Urgent Care Clinic/Center
- Marysville, OH
- NPI 1093763757
-
- Critical Care Medicine (Anesthesiology) Physician
- Westlake, OH
- NPI 1982697116
-
- Anesthesiology Physician
- Marysville, OH
- NPI 1437108164
-
- Anesthesiology Physician
- Greenwich, CT
- NPI 1972557486
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174524235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 567",
"city": "CHAGRIN FALLS",
"state": "OH",
"postal_code": "440220567",
"telephone_number": "216-464-5160",
"fax_number": "216-464-5982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15345 BAGLEY RD",
"city": "MIDDLEBURG HEIGHTS",
"state": "OH",
"postal_code": "441304825",
"telephone_number": "440-743-8400",
"fax_number": "440-743-8401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBONS",
"first_name": "KATHLEEN",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "166540",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0769440",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middleburg Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.