Individual provider Active NPI

Joseph Austin Runyan, CRNA

  • Certified Registered Nurse Anesthetist
  • Lima, OH
National Provider Identifier
1295306140
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.0020350 Issued in OH
Practice address
1003 Bellefontaine Ave
Lima, OH 45804-2868
Phone
(419) 228-3335
NPI assigned
Jul 1, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 63568 NM
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.0020350 OH Primary

Addresses

Primary practice location

1003 Bellefontaine Ave
Lima, OH 45804-2868

Mailing address

4 Surrey CT
Plain City, OH 43064-2107
Phone (614) 937-8994

Other identifiers 1

IdentifierTypeStateIssuer
0469360MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220103001749 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759784648 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Anesthesia of Ohio LLCGroup PAC ID 3779714258, 123 clinicians

Practice addresses (Care Compare)

6001 E Broad St
Columbus, OH 43213-1502
Phone (678) 690-7808

Hospital & facility affiliations

  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Anesthesiology CurrentSince Feb 1, 2022 Accepting new patients
Anesthesiology Services Network LTD Anesthesiology CurrentSince Nov 15, 2021 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Jan 31, 2022 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Anesthesiology CurrentSince Mar 31, 2023 Accepting new patients
Premier Anesthesia of Ohio LLC Anesthesiology CurrentSince Sep 15, 2023 Accepting new patients
Ohiohealth Corporation CurrentSince Feb 1, 2022 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Anesthesiology CurrentSince Mar 31, 2023 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Jan 31, 2022 Accepting new patients
Lima Memorial Joint Operating Company PastSince Mar 13, 2022 Accepting new patients

Locations

55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349

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

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

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

L3982
Columbus, OH 43260

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

Dept L3652
Columbus, OH 43260

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

Organizations & group practices 9

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 2

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": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1295306140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SURREY CT",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430642107",
            "telephone_number": "614-937-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 BELLEFONTAINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042868",
            "telephone_number": "419-228-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNYAN",
        "first_name": "JOSEPH",
        "middle_name": "AUSTIN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-01",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "63568",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.0020350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0469360",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.