Active NPI
Clayton Roush, CRNA
- Certified Registered Nurse Anesthetist
- Grove City, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9323110
- Practice address
- 2977 Orders Rd
Grove City, OH 43123-8283 - Phone
- (304) 593-8209
- NPI assigned
- May 4, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 9323110 | FL | Primary |
Addresses
Primary practice location
2977 Orders Rd
Grove City, OH 43123-8283
Mailing address
2977 Orders Rd
Grove City, OH 43123-8283
Phone (304) 593-8209
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 |
|---|---|---|---|
| 9323110 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of Ohio LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sandusky Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Ohio LLC | Current | Accepting new patients | |
| Ams Ohio PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479
793 W State St
Columbus, OH 43222
Phone (614) 234-1862
1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919
2615 E High St
Springfield, OH 45505
Phone (888) 861-3994
465 N Cleveland Ave
Ste 150
Westerville, OH 43082
Phone (614) 562-1546
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Springfield, OH
- NPI 1417276429
-
- Anesthesiology Physician
- Grove City, OH
- NPI 1699196022
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Circleville, OH
- NPI 1770907859
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1558800532
Nurse Anesthetist, Certified Registered, OH
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476662400000",
"number": "1497132005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2977 ORDERS RD",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431238283",
"telephone_number": "304-593-8209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2977 ORDERS RD",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431238283",
"telephone_number": "304-593-8209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSH",
"first_name": "CLAYTON",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-04",
"last_updated": "2016-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "9323110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grove City, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.