Individual provider Active NPI

Thomas J McKeown, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Coshocton, OH
National Provider Identifier
1306806435
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.01197 Issued in OH
Practice address
1460 Orange St
Coshocton County Memorial Hospital
Coshocton, OH 43812
Phone
(918) 543-1020
Fax
(918) 543-2103
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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 APRN.CRNA.01197 OH Primary

Addresses

Primary practice location

1460 Orange St
Coshocton County Memorial Hospital
Coshocton, OH 43812

Mailing address

PO Box 190
Inola, OK 74036-0190
Phone (918) 543-1020

Other practice location 1

7630 Southern Blvd
Youngstown, OH 44512-5633
Phone (330) 729-8000

Other practice location 2

250 Debartolo Pl Ste 1000
Youngstown, OH 44512-6090
Phone (330) 729-8000

Other identifiers 2

IdentifierTypeStateIssuer
0775371MedicaidOH
430065909OtherOHRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111220000801 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052483674 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200

Hospital & facility affiliations

  • Medina Hospital Hospital, Medina, OH, CCN 360091
  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation Nurse Anesthetist, Certified Registered CurrentSince Sep 9, 2015 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2024 Accepting new patients
Triad Health Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2025 Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients
Coshocton Anesthesia Assoc Nurse Anesthetist, Certified Registered PastSince Nov 20, 2001 Accepting new patients

Locations

444 N Main St
Akron, OH 44310
Phone (330) 375-6363

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

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

12301 Snow Rd
Parma Heights, OH 44130
Phone (216) 285-8810

7630 Southern Blvd
Youngstown, OH 44512
Phone (330) 729-8000

250 Debartolo Pl
Ste 1000
Youngstown, OH 44512
Phone (330) 314-9100

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

Organizations & group practices 5

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1306806435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "INOLA",
            "state": "OK",
            "postal_code": "740360190",
            "telephone_number": "918-543-1020",
            "fax_number": "918-543-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 ORANGE ST",
            "address_2": "COSHOCTON COUNTY MEMORIAL HOSPITAL",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "43812",
            "telephone_number": "918-543-1020",
            "fax_number": "918-543-2103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7630 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445125633",
            "country_code": "US",
            "telephone_number": "330-729-8000",
            "fax_number": "330-729-8084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Debartolo Pl Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445126090",
            "country_code": "US",
            "telephone_number": "330-729-8000",
            "fax_number": "330-729-8084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEOWN",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.01197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0775371",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "430065909",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coshocton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.