Individual provider Active NPI

Gregory Conn, CRNA

  • Certified Registered Nurse Anesthetist
  • Middletown, OH
National Provider Identifier
1336165430
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN174297 Issued in OH
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 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

IdentifierTypeStateIssuer
0460102MedicaidOH
000000217310OtherOHANTHEM
8219924OtherOHMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070913000196 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719071323 Reassigns benefits to 3 organizations

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
PHS Anesthesia Billing, LLCGroup PAC ID 2264958412, 241 clinicians

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

LicenseStateTypeSpecialty
RN174297OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Anesthesia Partners LLC CurrentSince Feb 7, 2025 Accepting new patients
PHS Anesthesia Billing, LLC CurrentSince Aug 10, 2025 Accepting new patients
Anesthesiology Services Network LTD CurrentSince Apr 1, 2017 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 PastSince Nov 10, 2011 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.

Hospital & facility affiliations 1

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": "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.

Verify at the official NPI Registry.