Active NPI
Carol A Marteney, CRNA
- Certified Registered Nurse Anesthetist
- Dayton, OH
National Provider Identifier
1497773071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- COA.04237-NA
- Practice address
- 405 Grand Ave
Dayton, OH 45405-4720 - Phone
- (937) 723-5863
- Fax
- (937) 723-5109
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 017996 | WV | |
| Certified Registered Nurse Anesthetist | 367500000X | COA.04237-NA | OH | Primary |
Addresses
Primary practice location
405 Grand Ave
Dayton, OH 45405-4720
Mailing address
PO Box 711131
Cincinnati, OH 45271-1131
Phone (937) 293-0247
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0856542 | Medicaid | OH | |
| 2603263000 | Medicaid | WV | |
| P00789301 | Other | OH | RAILROAD MEDICARE - MHCPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17996 | OH | MD | General Practice Dentistry |
| 116073 | OH | MD | Pharmacist |
| COA.04237-NA | OH | MD | Certified Registered Nurse Anesthetist |
| 017996 | WV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Group Practice, Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Guernsey Anesthesia Associates, Inc. | Past | Accepting new patients | |
| Professional Anesthesia Service,Inc. | Past | Accepting new patients | |
| Forest Grand Anesthesiologists Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Center for Pain Relief, Inc. | Past | Accepting new patients |
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
- Montgomery, OH
- NPI 1417951948
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Dayton, OH
- NPI 1538123948
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Cambridge, OH
- NPI 1053357764
-
- Interventional Pain Medicine Physician
- Charleston, WV
- NPI 1831116375
-
- Anesthesiology Physician
- Charleston, WV
- NPI 1720035827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400544000000",
"number": "1497773071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 711131",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452711131",
"telephone_number": "937-293-0247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 GRAND AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454054720",
"telephone_number": "937-723-5863",
"fax_number": "937-723-5109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTENEY",
"first_name": "CAROL",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2014-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "017996",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "COA.04237-NA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0856542",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2603263000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE - MHCPI",
"identifier": "P00789301",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.