Active NPI
Colleen Thaxton Spencer, CRNA
- Certified Registered Nurse Anesthetist
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN.301245
- Practice address
- 11100 Euclid Ave
Cleveland, OH 44106-1716 - Phone
- (216) 844-7334
- Fax
- (216) 844-3781
- NPI assigned
- Jul 1, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN.301245 | OH | Primary |
Addresses
Primary practice location
11100 Euclid Ave
Cleveland, OH 44106-1716
Mailing address
3605 Warrensville Center Rd
1St Floor
Shaker HTS, OH 44122-5203
Phone (216) 286-6260
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2966910 | Medicaid | OH | |
| P00785737 | Other | OH | MEDICARE RAILROAD |
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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7001 S Edgerton Rd
Suite a
Brecksville, OH 44141-4206
Phone (440) 717-0591
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.301245 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Anesthesia Limited, LLC | Current | Accepting new patients | |
| Northern Ohio Eye Consultants Inc | Current | Accepting new patients | |
| Northern Ohio Eye Consultants Inc | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| Safe Anesthesia Geneva LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
7001 S Edgerton Rd
Ste B
Brecksville, OH 44141
Phone (440) 526-1974
7001 S Edgerton Rd
Ste A
Brecksville, OH 44141
Phone (440) 717-0491
6880 W Snowville Rd
Ste 215
Brecksville, OH 44141
Phone (440) 526-1974
7580 Northcliff Ave
Ste 1000
Cleveland, OH 44144
2740 Carnegie Ave
Cleveland, OH 44115
Phone (216) 621-6132
11100 Euclid Ave
Cleveland Heights, OH 44106
870 W Main St
Geneva, OH 44041
Phone (440) 415-0258
5319 Hoag Dr
Sheffield Village, OH 44035
Phone (440) 930-6020
850 Columbia Rd
Ste 200
Westlake, OH 44145
Interoperability endpoints
- cthaxtonspencer33111@ehrdirect.uhhospitals.org
Organizations & group practices 6
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.
-
- Ophthalmology Physician
- Cleveland, OH
- NPI 1386752558
-
- Anesthesiology Physician
- Westlake, OH
- NPI 1730460205
-
- Certified Registered Nurse Anesthetist
- Geneva, OH
- NPI 1821327636
Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
-
- Gastroenterology Physician
- Mentor, OH
- NPI 1003935339
-
- Optometrist
- Lorain, OH
- NPI 1629057716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267401600000",
"number": "1467680157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 WARRENSVILLE CENTER RD",
"address_2": "1ST FLOOR",
"city": "SHAKER HTS",
"state": "OH",
"postal_code": "441225203",
"telephone_number": "216-286-6260",
"fax_number": "216-286-6341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061716",
"telephone_number": "216-844-7334",
"fax_number": "216-844-3781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAXTON SPENCER",
"first_name": "COLLEEN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-01",
"last_updated": "2010-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN.301245",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2966910",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00785737",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.