Active NPI
Michael T Amiet, CRNA
- Certified Registered Nurse Anesthetist
- Granville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NA07971
- Practice address
- 102 Bedwen Bach LN
Suite B
Granville, OH 43023-1519 - Phone
- (740) 920-4286
- NPI assigned
- Nov 30, 2005
- Last updated
- Jan 24, 2014
- 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 | NA07971 | OH | Primary |
| Registered Nurse | 163W00000X | RN278276 | OH |
Addresses
Primary practice location
102 Bedwen Bach LN
Suite B
Granville, OH 43023-1519
Mailing address
102 Bedwen Bach LN
Suite B
Granville, OH 43023-1519
Phone (740) 920-4286
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN278276 | OH | MD | Registered Nurse |
| NA07971 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mask Anesthesia Consultants Inc | Current | Accepting new patients | |
| Premier Anesthesia of Ohio LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Grant Anesthesia Services LTD | Past | Accepting new patients |
Locations
275 Taylor Station Rd
Columbus, OH 43213
Phone (614) 566-9983
6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420
793 W State St
Columbus, OH 43222
Phone (614) 234-1862
5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242
Organizations & group practices 4
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
- Grove City, OH
- NPI 1699196022
Nurse Anesthetist, Certified Registered
-
- Specialist
- Westerville, OH
- NPI 1457420580
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1477965150
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1366431132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390521600000",
"number": "1467436832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 BEDWEN BACH LN",
"address_2": "SUITE B",
"city": "GRANVILLE",
"state": "OH",
"postal_code": "430231519",
"telephone_number": "740-920-4286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 BEDWEN BACH LN",
"address_2": "SUITE B",
"city": "GRANVILLE",
"state": "OH",
"postal_code": "430231519",
"telephone_number": "740-920-4286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIET",
"first_name": "MICHAEL",
"middle_name": "T",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2014-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "NA07971",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN278276",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.