Individual provider Active NPI

Vincent Link

  • Certified Registered Nurse Anesthetist
  • South Williamson, KY
National Provider Identifier
1568417285
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3977A Issued in KY
Practice address
260 Hospital Dr
South Williamson, KY 41503-4072
Phone
(606) 237-1700
Fax
(606) 237-1701
NPI assigned
May 23, 2006
Last updated
Mar 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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 3977A KY Primary

Addresses

Primary practice location

260 Hospital Dr
South Williamson, KY 41503-4072

Mailing address

260 Hospital Dr
South Williamson, KY 41503-4072
Phone (606) 237-1700

Other identifiers 2

IdentifierTypeStateIssuer
2603142000MedicaidWV
74006693MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040219000932 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618862426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Anesthesia Providers LLCGroup PAC ID 2567682073, 7 clinicians

Practice addresses (Care Compare)

725 S Shoop Ave
Wauseon, OH 43567-1702
Phone (419) 335-2015

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28092WVMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Anesthesia Providers, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2020 Accepting new patients
Clinical Colleagues LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 13, 2016 Accepting new patients
Western Ohio Anesthesia Associates Past Accepting new patients
Triangle Anesthesia Group PSC Nurse Anesthetist, Certified Registered Past Accepting new patients
Meridian Hma LLC Past Accepting new patients

Locations

L3856
Columbus, OH 43260

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

725 S Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2015

400 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 872-2891

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1568417285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 HOSPITAL DR",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415034072",
            "telephone_number": "606-237-1700",
            "fax_number": "606-237-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 HOSPITAL DR",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415034072",
            "telephone_number": "606-237-1700",
            "fax_number": "606-237-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINK",
        "first_name": "VINCENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3977A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2603142000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74006693",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Williamson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.