Individual provider Active NPI

Scott D Gillette, CRNA

  • Certified Registered Nurse Anesthetist
  • Akron, OH
National Provider Identifier
1487602769
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN-256368 Issued in OH
Practice address
525 E Market St
Akron, OH 44304-1619
Phone
(330) 375-3765
Fax
(330) 375-7586
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 157695 NC
Certified Registered Nurse Anesthetist 367500000X RN-256368 OH Primary

Addresses

Primary practice location

525 E Market St
Akron, OH 44304-1619

Mailing address

PO Box 2090
Akron, OH 44309-2090
Phone (330) 375-3765

Other identifiers 7

IdentifierTypeStateIssuer
2080224OtherOHUNITED HEALTHCARE GROUP #
2541084MedicaidOH
100153OtherOHEMPLOYER KAISER GROUP #
34-0891295OtherOHEMPLOYER FEDERAL TAX ID #
000000357686OtherOHANTHEM BCBS INDV NUMBER
7091249MedicaidOH
730554OtherOHBUCKEYE COMMUNITY HLTH PL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050302000684 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103879002 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PHS Anesthesia Billing, LLCGroup PAC ID 2264958412, 241 clinicians
Dayton Anesthesia and Pain Services LLCGroup PAC ID 8022245372, 217 clinicians

Practice addresses (Care Compare)

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000

155 5TH St NE
Barberton, OH 44203-3332
Phone (330) 615-3000

2400 Miami Valley Dr
Dayton, OH 45459-4774
Phone (937) 438-2400

405 W Grand Ave
Dayton, OH 45405-7538
Phone (937) 226-3200

525 E Market St
Akron, OH 44304-1619
Phone (330) 375-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN-256368OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Blanchard Valley Regional Health Center CurrentSince Sep 18, 2017 Accepting new patients
PHS Anesthesia Billing, LLC CurrentSince Sep 1, 2025 Accepting new patients
Blanchard Valley Regional Health Center Nurse Anesthetist, Certified Registered CurrentSince Sep 18, 2017 Accepting new patients
Dayton Anesthesia & Pain Services, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2015 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Mar 12, 2024 Accepting new patients
Blanchard Valley Regional Health Center Current Accepting new patients
Lima Memorial Professional Corporation CurrentSince Mar 12, 2024 Accepting new patients
Anesthesiology Services Network LTD CurrentSince Feb 3, 2018 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Anesthesiology Consultants of Toledo, Inc Past Accepting new patients

Locations

3975 Embassy Pkwy
Ste 202
Akron, OH 44333
Phone (330) 668-4085

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

444 N Main St
Akron, OH 44310
Phone (330) 375-6363

3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000

139 Garau St
Bluffton, OH 45817
Phone (419) 358-9010

L3982
Columbus, OH 43260

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

195 Wadsworth Rd
Wadsworth, OH 44281
Phone (330) 331-1000

Organizations & group practices 11

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.

Hospital & facility affiliations 4

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1487602769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2090",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443092090",
            "telephone_number": "330-375-3765",
            "fax_number": "330-375-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041619",
            "telephone_number": "330-375-3765",
            "fax_number": "330-375-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLETTE",
        "first_name": "SCOTT",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "157695",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN-256368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE GROUP #",
            "identifier": "2080224",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2541084",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER KAISER GROUP #",
            "identifier": "100153",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER FEDERAL TAX ID #",
            "identifier": "34-0891295",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS INDV NUMBER",
            "identifier": "000000357686",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7091249",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE COMMUNITY HLTH PL",
            "identifier": "730554",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.