Individual provider Active NPI

Constance M Cox, CRNA

  • Certified Registered Nurse Anesthetist
  • Beavercreek, OH
National Provider Identifier
1609810100
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
COA.07366-NA Issued in OH
Practice address
75 Sylvania Dr
Beavercreek, OH 45440-3237
Phone
(937) 320-5050
Fax
(937) 320-5060
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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 COA.07366-NA OH Primary

Addresses

Primary practice location

75 Sylvania Dr
Beavercreek, OH 45440-3237

Mailing address

1859 Liberty Rd
New Carlisle, OH 45344-8527
Phone (937) 308-5407

Other identifiers 1

IdentifierTypeStateIssuer
2476904MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040622000166 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921083262 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.07366-NAOHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 26, 2020 Accepting new patients
Gi Anesthesia, LLC CurrentSince Jul 29, 2020 Accepting new patients
Center for Pain Relief, Inc. Past Accepting new patients
Professional Anesthesia Service,Inc. Past Accepting new patients
Rural Anesthesia Management, LLC Past Accepting new patients
Forest Grand Anesthesiologists Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Valley Anesthesia Inc Past Accepting new patients
Licking Memorial Professional Corporation Past Accepting new patients

Locations

4200 Indian Ripple Rd
Dayton, OH 45440
Phone (937) 320-5050

4340 Clyo Rd
#200
Dayton, OH 45459
Phone (937) 396-2602

75 Sylvania Dr
Dayton, OH 45440
Phone (937) 320-5050

9000 N Main St
Ste 405
Englewood, OH 45415
Phone (937) 320-5050

Organizations & group practices 8

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1609810100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859 LIBERTY RD",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453448527",
            "telephone_number": "937-308-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SYLVANIA DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454403237",
            "telephone_number": "937-320-5050",
            "fax_number": "937-320-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "CONSTANCE",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "COA.07366-NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2476904",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.