Individual provider Active NPI

Benjamin Matheson, CRNA

  • Certified Registered Nurse Anesthetist
  • Akron, OH
National Provider Identifier
1174629331
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN 284697 Issued in OH
Practice address
224 W Exchange St Ste 220
Akron, OH 44302-1726
Phone
(330) 344-7040
Fax
(330) 344-1714
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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 284697 OH Primary

Addresses

Primary practice location

224 W Exchange St Ste 220
Akron, OH 44302-1726

Mailing address

224 W Exchange St Ste 220
Akron, OH 44302-1726
Phone (330) 344-7040

Other identifiers 1

IdentifierTypeStateIssuer
3018568MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091124000263 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951361245 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners Physician GroupGroup PAC ID 4183529340, 409 clinicians

Practice addresses (Care Compare)

1 Akron General Ave
Akron, OH 44307-2432

224 W Exchange St
Suite 160
Akron, OH 44302-1705
Phone (330) 344-6505

224 W Exchange St
Suite 225
Akron, OH 44302-1726
Phone (330) 344-7400

Hospital & facility affiliations

  • Akron General Medical Center Hospital, Akron, OH, CCN 360027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 284697OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Wooster Pain and Anesthesia Center LLC CurrentSince Mar 1, 2016 Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince Apr 15, 2016 Accepting new patients
Partners Physician Group CurrentSince Sep 24, 2018 Accepting new patients
Partners Physician Group CurrentSince Sep 24, 2018 Accepting new patients
Aultman North Canton Medical Group Past Accepting new patients
Mary Rutan Hospital Past Accepting new patients
Hollywood Diagnostic Center Inc Past Accepting new patients

Locations

224 W Exchange St
Ste 220
Akron, OH 44302
Phone (330) 344-7040

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

224 W Exchange St
Ste 360
Akron, OH 44302
Phone (330) 294-8467

224 W Exchange St
Ste 225
Akron, OH 44302
Phone (330) 344-7400

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

3373 Commerce Pkwy
Ste 3
Wooster, OH 44691
Phone (330) 284-9119

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1174629331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W EXCHANGE ST STE 220",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021726",
            "telephone_number": "330-344-7040",
            "fax_number": "330-344-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 W EXCHANGE ST STE 220",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021726",
            "telephone_number": "330-344-7040",
            "fax_number": "330-344-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHESON",
        "first_name": "BENJAMIN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN 284697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3018568",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.

Verify at the official NPI Registry.