Individual provider Active NPI

Donald James Kettinger, CRNA

  • Certified Registered Nurse Anesthetist
  • Pittsburg, PA
National Provider Identifier
1548233273
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
COA02056NA Issued in OH
Practice address
1307 Federal Street Suite 101
Steel City Anesthesia, LLC
Pittsburg, PA 15212-4769
Phone
(330) 286-5330
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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 COA02056NA OH Primary

Addresses

Primary practice location

1307 Federal Street Suite 101
Steel City Anesthesia, LLC
Pittsburg, PA 15212-4769

Mailing address

471 Rutledge CT
Perrysburg, OH 43551-5204
Phone (419) 872-9442

Other identifiers 1

IdentifierTypeStateIssuer
0799177MedicaidOH

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

LicenseStateTypeSpecialty
COA02056NAOHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiology Consultants of Toledo, Inc Past Accepting new patients
Monroe Community Health Services Nurse Anesthetist, Certified Registered Past Accepting new patients
Southwest Anesthesia Services, PSC, Inc. Past Accepting new patients
Garden City Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
Associated Anesthesiologists of Toledo, Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://phsfhir.primehealthcare.com/PHS-PRD-FHIR/api/FHIR/R4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1548233273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 RUTLEDGE CT",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515204",
            "telephone_number": "419-872-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL STREET SUITE 101",
            "address_2": "STEEL CITY ANESTHESIA, LLC",
            "city": "PITTSBURG",
            "state": "PA",
            "postal_code": "152124769",
            "telephone_number": "330-286-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTINGER",
        "first_name": "DONALD",
        "middle_name": "JAMES",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "COA02056NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0799177",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.