Dorothy J. Buttrom, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Tiffin, OH
NPI 1497809677 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497809677
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- NA-03689 (OH)
- Practice address
- 485 W Market St
Tiffin, OH 44883-2611 - Phone
- (419) 251-2673
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA-03689 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health - Tiffin Hospital LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NA-03689 | OH | Yes |
Addresses
Primary practice location
485 W Market St
Tiffin, OH 44883-2611
Mailing address
2200 Jefferson Avenue
4TH Floor
Toledo, OH 43604-1181
Phone (419) 251-2673
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2105564 | Medicaid | OH |
Other providers in Tiffin, OH
- Bridges Community Academy
- Melanie Jean Brown
- Steven Bruhl
- Lindsay Buffington
- Stephanie T Burns
- Lidia Campbell
- Alexis Nicole Caroline
- CD Sears MD Inc
- Robert A Cecchino
- Jorge Cepeda
All providers in Tiffin, OH · Certified Registered Nurse Anesthetist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.