Matthew Park, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

280510 Issued in OH

Practice address

272 Hospital Rd
Chillicothe, OH 45601-9031

Phone

(740) 779-7540

Fax

(740) 779-7867

NPI assigned

Sep 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH, KS2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Group practices

Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Clinical Colleagues IncGroup PAC ID 8729011333, 170 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159

Merit-based Incentive Payment System (MIPS)

Final score

82.93 of 100Reported as group

Quality

64.42

Promoting interoperability

99

Improvement activities

40

Cost

73.2

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 and National Provider Directory roles.

• Adena Medical Group LLC

  • Family Medicine Physician
  • Chillicothe, OH
  • NPI 1235468083
  Medicare reassignment Care Compare group NPD
• Clinical Colleagues Inc

  • Anesthesiology Physician
  • Van Wert, OH
  • NPI 1992725766

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Services of Greater Dayton, LLC

  • Certified Registered Nurse Anesthetist
  • Beavercreek, OH
  • NPI 1407132830

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Arlington Anesthesia Partners LLC

  • Anesthesiology Physician
  • Circleville, OH
  • NPI 1578209342
  Medicare reassignment NPD
• South Central Ohio Anesthesia LLC

  • Anesthesiology Physician
  • Logan, OH
  • NPI 1700100419
  Medicare reassignment NPD
• Southwest Ohio Anesthesia Consultants LLC

  • Anesthesiology Physician
  • Cincinnati, OH
  • NPI 1588645188

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• US Anesthesia Partners of Kansas PA

  • Anesthesiology Physician
  • Greenwood Village, CO
  • NPI 1811415599

  KS, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesiology Consultants of Toledo, Inc

  • Anesthesiology Physician
  • Toledo, OH
  • NPI 1366482119
  NPD (past)
• Chillicothe Anesthesia Associates Inc

  • Anesthesiology Physician
  • Chillicothe, OH
  • NPI 1902806789
  NPD (past)
• Western Pennsylvania Anesthesia Associates, LTD.

  • Pain Medicine (Anesthesiology) Physician
  • Pittsburgh, PA
  • NPI 1386639847
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adena Health System

  • General Acute Care Hospital
  • Chillicothe, OH
  • NPI 1902839673
  Care Compare affiliation

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1336134113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 HOSPITAL RD",
            "address_2": "SUITE 3",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019031",
            "telephone_number": "740-779-8234",
            "fax_number": "740-779-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 HOSPITAL RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019031",
            "telephone_number": "740-779-7540",
            "fax_number": "740-779-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "MATTHEW",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "280510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2489838",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena@adena.medicity.net",
            "affiliation": "N",
            "address_1": "272 Hospital Rd",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456019031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittany Park
• Gwendolyn J Park, RN
• Jandyll Park
• Jerri A Park, BSN,RN
• Ji Yeong Park, PHARMD
• Amy L Parke, FNP
• Kathryn Parker
• Vicky Kay Parker, CNP
• Kelly Parkison
• Gregory A Parks

• Certified Registered Nurse Anesthetist in Chillicothe, OH
• Providers in Chillicothe, 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 Dec 28, 2020; 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.