Individual provider Active NPI

Gregory T Frondorf, R.N., C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Batavia, OH
National Provider Identifier
1215008636
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
262262 Issued in OH
Practice address
3000 Hospital Drive
Mercy Clermont Hospital
Batavia, OH 45103
Phone
(513) 732-8255
Fax
(513) 732-8713
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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 262262 OH Primary

Addresses

Primary practice location

3000 Hospital Drive
Mercy Clermont Hospital
Batavia, OH 45103

Mailing address

200 Northland Boulevard
Outpatient Anesthesia Specialist
Cincinnati, OH 45246
Phone (513) 204-5696

Other identifiers 1

IdentifierTypeStateIssuer
2764147MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070315000261 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870696644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3000 Hospital Dr
Batavia, OH 45103-1921
Phone (513) 732-8200

7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
262262OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Ohio Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2014 Accepting new patients
West Chester Surgical Suites, LLC Past Accepting new patients
Perioperative Medical Consutants Inc Past Accepting new patients

Locations

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

4415 Aicholtz Rd
Cincinnati, OH 45245
Phone (513) 732-9300

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

Organizations & group practices 3

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1215008636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NORTHLAND BOULEVARD",
            "address_2": "OUTPATIENT ANESTHESIA SPECIALIST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45246",
            "telephone_number": "513-204-5696",
            "fax_number": "877-284-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HOSPITAL DRIVE",
            "address_2": "MERCY CLERMONT HOSPITAL",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "45103",
            "telephone_number": "513-732-8255",
            "fax_number": "513-732-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRONDORF",
        "first_name": "GREGORY",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "R.N., C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "262262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2764147",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.