Active NPI
Michael Pollander, CRNA
- Certified Registered Nurse Anesthetist
- Kettering, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN-260887
- Practice address
- 3535 Southern Blvd
Kettering, OH 45429-1221 - Phone
- (937) 293-8228
- Fax
- (937) 293-8229
- NPI assigned
- Mar 17, 2006
- 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 | RN-260887 | OH | Primary |
Addresses
Primary practice location
3535 Southern Blvd
Kettering, OH 45429-1221
Mailing address
3533 Southern Blvd
Suite 3100
Kettering, OH 45429-1264
Phone (937) 293-8228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2304956 | Medicaid | OH |
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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 298-4331
4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615
Phone (937) 866-0551
600 N Pickaway St
Circleville, OH 43113-1447
Phone (740) 474-2126
600 W Main St
Kettering Health Troy
Troy, OH 45373-3384
Phone (937) 980-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-260887 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandusky Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Male Reproductive Medicine of Southwest Ohio | Past | Accepting new patients |
Locations
600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
Organizations & group practices 2
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.
-
- Certified Registered Nurse Anesthetist
- Circleville, OH
- NPI 1770907859
Nurse Anesthetist, Certified Registered
-
- Urology Physician
- Kettering, OH
- NPI 1275639908
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kettering Health Dayton
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
dba Kettering Health Main Campus
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
dba Kettering Health Miamisburg
- General Acute Care Hospital
- Miamisburg, OH
- NPI 1316966518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619946852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3533 SOUTHERN BLVD",
"address_2": "SUITE 3100",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291264",
"telephone_number": "937-293-8228",
"fax_number": "937-293-8229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 SOUTHERN BLVD",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291221",
"telephone_number": "937-293-8228",
"fax_number": "937-293-8229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLANDER",
"first_name": "MICHAEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN-260887",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2304956",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
- Raymond J. Poelstra, M.D.
- Pohly Professional Counseling and Consulting, Inc.
- Carol R Pohly, M.ED., LPCC, LSW
- Soriya Varaman Pok-Todd, MD
- Gretchen Leigh Polinski
- Victoria Alejandra Pollander, CRNA
- Nancy A Pook, MD
- Phillip Michael Porcelli, D.O.
- Elizabeth Jane Newton Portnoy, M.D.
- Post Acute Solutions, LLC
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.