Active NPI
Edward E. Hettinger Jr., C.R.N.A.
- Certified Registered Nurse Anesthetist
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-101150
- Practice address
- 2105 E South Blvd
Montgomery, AL 36116-2409 - Phone
- (334) 286-3579
- NPI assigned
- Mar 7, 2007
- Last updated
- Jul 8, 2007
- 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 | 1-101150 | AL | Primary |
Addresses
Primary practice location
2105 E South Blvd
Montgomery, AL 36116-2409
Mailing address
PO Box 235022
Montgomery, AL 36123-5022
Phone (334) 396-6930
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, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000
200 Medical Ctr Dr
Middletown, OH 45005-5200
Phone (513) 424-2111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-101150 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arlington Anesthesia Partners LLC | Current | Accepting new patients | |
| PHS Anesthesia Billing, LLC | Current | Accepting new patients | |
| Gi Anesthesia, LLC | Current | Accepting new patients | |
| Anesthesiology Services Network LTD | Current | Accepting new patients | |
| Ogi Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Premier Anesthesia of Montgomery PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2925 Vernon Pl
Ste 101
Cincinnati, OH 45219
Phone (513) 872-4541
600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
4340 Clyo Rd
#200
Dayton, OH 45459
Phone (937) 396-2602
1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111
5950 Innovation Dr
Middletown, OH 45005
Phone (513) 261-6200
4746 Montgomery Rd
Ste 100
Norwood, OH 45212
Phone (513) 569-1310
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Middletown, OH
- NPI 1578361044
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1821076779
-
- Anesthesiology Physician
- Circleville, OH
- NPI 1578209342
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1730332610
-
- Certified Registered Nurse Anesthetist
- Cincinnati, OH
- NPI 1962776807
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Montgomery, AL
- NPI 1780636233
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Franklin, OH
- NPI 1700950060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497885305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 235022",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361235022",
"telephone_number": "334-396-6930",
"fax_number": "334-396-6929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 E SOUTH BLVD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361162409",
"telephone_number": "334-286-3579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HETTINGER",
"first_name": "EDWARD",
"middle_name": "E.",
"name_suffix": "Jr.",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-101150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.