Active NPI
Ronald Kyle Hodgen, CRNA
- Certified Registered Nurse Anesthetist
- Mason, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN.CRNA.019367
- Practice address
- 5700 Gateway Ste 100B
Mason, OH 45040-1890 - Phone
- (513) 404-4529
- NPI assigned
- Oct 23, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 9281942 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN.CRNA.019367 | OH | Primary |
Addresses
Primary practice location
5700 Gateway Ste 100B
Mason, OH 45040-1890
Mailing address
5700 Gateway Ste 100B
Mason, OH 45040-1890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0210912 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, OH
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 N Lecanto Hwy
Lecanto, FL 34461-9190
Phone (352) 527-1825
Hospital & facility affiliations
- North Walton Doctors Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9281942 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imperial Enterprise of Ohio LLC | Current | Accepting new patients | |
| Fleming Island Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Florida Panhandle Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Resource Anesthesia Highlands Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
4413 US Highway 331 S
Defuniak Springs, FL 32435
Phone (850) 892-5171
4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825
9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210
1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048
120 E Par St
Ste 2000
Orlando, FL 32804
Phone (407) 843-5665
204B E 19th St
Panama City, FL 32405
Phone (850) 769-7599
245 W Elmwood Dr
Ste 100
Dayton, OH 45459
Phone (937) 350-6703
1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503
12752 Kingston Pike
Ste E202
Knoxville, TN 37934
Phone (877) 277-9030
Interoperability endpoints
- r.hodgen.1@5513.direct.athenahealth.com
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.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1295111318
-
- Certified Registered Nurse Anesthetist
- Hillsboro, OH
- NPI 1508113903
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Orange Park, FL
- NPI 1487945895
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Panama City, FL
- NPI 1982241360
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Defuniak Springs, FL
- NPI 1750142121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1407939796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 GATEWAY STE 100B",
"city": "MASON",
"state": "OH",
"postal_code": "450401890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 GATEWAY STE 100B",
"city": "MASON",
"state": "OH",
"postal_code": "450401890",
"telephone_number": "513-404-4529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGEN",
"first_name": "RONALD",
"middle_name": "KYLE",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2024-08-30",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "9281942",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "APRN.CRNA.019367",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0210912",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.