Stacey D Diller, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN300865 Issued in OH

Practice address

793 W State St
Columbus, OH 43222-1551

Phone

(614) 552-0061

Fax

(614) 552-0168

NPI assigned

Oct 9, 2008

Last updated

Sep 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Galloway Anesthesia Associates LLCGroup PAC ID 0143402917, 94 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Galloway Anesthesia Associates LLC

  • Anesthesiology Physician
  • Miami, FL
  • NPI 1689989139

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Galloway Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Palm Beach Gardens, FL
  • NPI 1316626450

  Nurse Anesthetist, Certified Registered

  NPD
• Consultant Anesthesiologists Inc

  • Specialist
  • Westerville, OH
  • NPI 1457420580
  NPD (past)
• Orange ASC, LTD

  dba Orthopedic ONE Surgery Center at Easton

  • Ambulatory Surgical Clinic/Center
  • Columbus, OH
  • NPI 1619333010
  NPD (past)
• Taylor Anesthesia Consultants, LLC

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1962670059
  NPD (past)

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1245481118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 CROSS POINTE RD",
            "address_2": "SUITE C",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306691",
            "telephone_number": "614-552-0061",
            "fax_number": "614-552-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 W STATE ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221551",
            "telephone_number": "614-552-0061",
            "fax_number": "614-552-0168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 SW 87th Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331735426",
            "country_code": "US",
            "telephone_number": "305-595-9511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLER",
        "first_name": "STACEY",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11016493",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN300865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanelle Ardell Dillard, LPN
• Harold Dillard, LMT CNMT
• Isha Dillard
• Jennifer Marie Dillard, CRNA
• Kimberley Dillard
• Kristine Dilley, RDN. LD
• Robert F Dilley, D.D.S.
• Mary E Dillhoff, MD
• Dawn C Dillinger, DO
• James Patrick Dillion Jr., PHYSICIAN ASSISTANT

• Certified Registered Nurse Anesthetist in Columbus, OH
• Providers in Columbus, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.