Organization Active NPI

Groves Anselm Anesthesia Services Inc

  • Certified Registered Nurse Anesthetist
  • Medina, OH
National Provider Identifier
1306917398
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AANA45193 Issued in OH
Legal business name
GROVES ANSELM ANESTHESIA SERVICES INC
Practice address
970 East Washington Ave
Suite 203 Medina Surgical Hospital
Medina, OH 44256
Phone
(330) 723-7246
Fax
(330) 725-7855
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robin Lee Groves Anselm, CRNA
Title
President
Phone
(330) 665-0758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X AANA45193 OH Primary

Addresses

Primary practice location

970 East Washington Ave
Suite 203 Medina Surgical Hospital
Medina, OH 44256

Mailing address

PO Box 335
Bath, OH 44210
Phone (330) 472-5249

Other identifiers 3

IdentifierTypeStateIssuer
AANA45193OtherROBIN LEE GROVES ANSELM
1083624886OtherOHPERSONAL NPI
GR8216607MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306917398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 335",
            "city": "BATH",
            "state": "OH",
            "postal_code": "44210",
            "telephone_number": "330-472-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 EAST WASHINGTON AVE",
            "address_2": "SUITE 203 MEDINA SURGICAL HOSPITAL",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "44256",
            "telephone_number": "330-723-7246",
            "fax_number": "330-725-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVES ANSELM ANESTHESIA SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROVES ANSELM",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-665-0758",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "AANA45193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROBIN LEE GROVES ANSELM",
            "identifier": "AANA45193",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1083624886",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR8216607",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.