Active NPI
Lara Noel Wilson, CRNA
- Certified Registered Nurse Anesthetist
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN192709
- Practice address
- 68 West Dominion Boulevard
Columbus, OH 43214 - Phone
- (770) 251-2060
- Fax
- (678) 854-9235
- NPI assigned
- Feb 19, 2010
- Sex
- Female
- 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 | RN192709 | GA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RN.398740-COA.15479 | OH |
Addresses
Primary practice location
68 West Dominion Boulevard
Columbus, OH 43214
Mailing address
68 West Dominion Boulevard
Columbus, OH 43214
Phone (770) 251-2060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 842523571A | Medicaid | GA |
Other names 1
- Lara Noel Duncan
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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
793 W State St
Columbus, OH 43222-1551
Phone (877) 742-0399
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.398740-COA.15479 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Cincinnati, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Dayton Anesthesia & Pain Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Group Practice, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sandusky Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Premier Anesthesia of Ohio LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406
600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479
793 W State St
Columbus, OH 43222
Phone (614) 234-1862
4845 Knightsbridge Blvd
Ste 110
Columbus, OH 43214
Phone (614) 273-0400
405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200
5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242
630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
11140 Montgomery Rd
Ste G200
Montgomery, OH 45249
Phone (513) 263-1419
10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206
1030 Refugee Rd
Ste 160
Pickerington, OH 43147
Phone (614) 575-6310
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
- Grove City, OH
- NPI 1699196022
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1316945173
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Montgomery, OH
- NPI 1417951948
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1629401898
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Circleville, OH
- NPI 1770907859
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grove City, OH
- NPI 1710067376
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1982784534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412899200000",
"number": "1427370345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 WEST DOMINION BOULEVARD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43214",
"telephone_number": "770-251-2060",
"fax_number": "678-854-9235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 WEST DOMINION BOULEVARD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43214",
"telephone_number": "770-251-2060",
"fax_number": "678-854-9235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "LARA",
"middle_name": "NOEL",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-19",
"last_updated": "2014-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN192709",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN.398740-COA.15479",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "842523571A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LARA",
"last_name": "DUNCAN",
"middle_name": "NOEL",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.