Individual provider Active NPI

Mark A Kime, CRNA

  • Certified Registered Nurse Anesthetist
  • Akron, OH
National Provider Identifier
1538565940
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.16768 Issued in OH
Practice address
224 W Exchange St Ste 220
Akron, OH 44302-1726
Phone
(330) 344-7040
Fax
(330) 344-1714
NPI assigned
Nov 12, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.16768 OH Primary

Addresses

Primary practice location

224 W Exchange St Ste 220
Akron, OH 44302-1726

Mailing address

447 Millbrook St
Canfield, OH 44406-9663
Phone (330) 720-2201

Other practice location 1

250 Debartolo Pl Ste 1000
Youngstown, OH 44512-6090
Phone (330) 729-8000

Other practice location 2

7630 Southern Blvd
Youngstown, OH 44512-5633
Phone (330) 729-8000

Other practice location 3

1350 E Market St
Warren, OH 44483-6608
Phone (330) 841-9355

Other identifiers 1

IdentifierTypeStateIssuer
0158796MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141215002194 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032432422 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum AnesthesiaGroup PAC ID 9638326432, 65 clinicians
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians

Practice addresses (Care Compare)

1995 E State St
Salem, OH 44460-2423
Phone (330) 286-5330

7630 Southern Blvd
Youngstown, OH 44512-5633
Phone (330) 729-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Oct 20, 2025 Accepting new patients
Triad Health Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2024 Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients
Hollywood Diagnostic Center Inc Past Accepting new patients

Locations

400 Town Center Ave
Ste 200
Columbiana, OH 44408
Phone (330) 332-7119

1995 E State St
Salem, OH 44460
Phone (330) 332-1551

7630 Southern Blvd
Youngstown, OH 44512
Phone (330) 729-8000

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

1031 W Western Reserve Rd
Youngstown, OH 44514
Phone (330) 746-7691

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

250 Debartolo Pl
Ste 1000
Youngstown, OH 44512
Phone (330) 314-9100

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.

Hospital & facility affiliations 3

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": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1538565940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 MILLBROOK ST",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069663",
            "telephone_number": "330-720-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 W EXCHANGE ST STE 220",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021726",
            "telephone_number": "330-344-7040",
            "fax_number": "330-344-1714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Debartolo Pl Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445126090",
            "country_code": "US",
            "telephone_number": "330-729-8000",
            "fax_number": "330-729-8084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7630 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445125633",
            "country_code": "US",
            "telephone_number": "330-729-8000",
            "fax_number": "330-729-8084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 E Market St",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444836608",
            "country_code": "US",
            "telephone_number": "330-841-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIME",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-12",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.16768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0158796",
            "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 Dec 30, 2025; 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.