Active NPI
Gregory Conn, CRNA
- Certified Registered Nurse Anesthetist
- Middletown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN174297
- Practice address
- 105 McKnight Drive
Middletown, OH 45044-4898 - Phone
- (513) 424-2111
- Fax
- (513) 420-5662
- NPI assigned
- Jul 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN174297 | OH | Primary |
Addresses
Primary practice location
105 McKnight Drive
Middletown, OH 45044-4898
Mailing address
PO Box 640929
Cincinnati, OH 45264-0929
Phone (513) 727-0748
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0460102 | Medicaid | OH | |
| 000000217310 | Other | OH | ANTHEM |
| 8219924 | Other | OH | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 Miami Valley Dr
Dayton, OH 45459-4774
Phone (937) 438-2400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN174297 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arlington Anesthesia Partners LLC | Current | Accepting new patients | |
| PHS Anesthesia Billing, LLC | Current | Accepting new patients | |
| Anesthesiology Services Network LTD | Current | Accepting new patients | |
| Pickaway Professional Services Inc | Past | Accepting new patients | |
| Consultants in Anesthesiology, Inc | Past | Accepting new patients | |
| Premier Anesthesia Consultants, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Tri-State Anesthesia Associates Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111
295 N Breiel Blvd
Middletown, OH 45042
Phone (513) 425-0930
5950 Innovation Dr
Middletown, OH 45005
Phone (513) 261-6200
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Middletown, OH
- NPI 1578361044
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1821076779
-
- Anesthesiology Physician
- Circleville, OH
- NPI 1578209342
-
- Anesthesiology Physician
- Greenville, OH
- NPI 1275573925
-
- Specialist
- Circleville, OH
- NPI 1184793002
-
- Anesthesiology Physician
- Franklin, OH
- NPI 1811167877
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Middletown, OH
- NPI 1841349305
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Franklin, OH
- NPI 1700950060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336165430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 640929",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452640929",
"telephone_number": "513-727-0748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 MCKNIGHT DRIVE",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450444898",
"telephone_number": "513-424-2111",
"fax_number": "513-420-5662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONN",
"first_name": "GREGORY",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN174297",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0460102",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000217310",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "8219924",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.