Individual provider Active NPI

Susan Grace Cahill, CRNA

  • Certified Registered Nurse Anesthetist
  • Elyria, OH
National Provider Identifier
1619971041
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
COA.01176-NA Issued in OH
Practice address
5319 Hoag Drive
Elyria, OH 44035-1494
Phone
(440) 930-6050
NPI assigned
Jun 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 97506 CO
Certified Registered Nurse Anesthetist 367500000X COA.01176-NA OH Primary
Certified Registered Nurse Anesthetist 367500000X 097506 CO

Addresses

Primary practice location

5319 Hoag Drive
Elyria, OH 44035-1494

Mailing address

13523 Barrett Parkway Drive
Suite 104
Ballwin, MO 63021-3802
Phone (636) 938-6868

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091109000645 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426031402 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
67.98 of 100Reported as group
Quality
55.52
Improvement activities
40
Cost
74.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
097506COMDCertified Registered Nurse Anesthetist
97506COMDCertified Registered Nurse Anesthetist
COA.01176-NAOHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Blanchard Valley Regional Health Center Current Accepting new patients
Blanchard Valley Regional Health Center Nurse Anesthetist, Certified Registered CurrentSince May 26, 2020 Accepting new patients
Ohio Anesthesia Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 5, 2017 Accepting new patients
Blanchard Valley Regional Health Center CurrentSince May 26, 2020 Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince Dec 1, 2010 Accepting new patients
Blanchard Valley Regional Health Center Nurse Anesthetist, Certified Registered Current Accepting new patients
Surgical Anesthesia Services of California Past Accepting new patients
The Endoscopy Center at Bainbridge LLC PastSince Apr 1, 2020 Accepting new patients

Locations

139 Garau St
Bluffton, OH 45817
Phone (419) 358-9010

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

1709 Medical Blvd
Findlay, OH 45840
Phone (419) 429-0409

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

29017 Cedar Rd
Lyndhurst, OH 44124
Phone (440) 255-9920

5959 Monclova Rd
Maumee, OH 43537
Phone (419) 251-3740

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

850 Columbia Rd
Ste 200
Westlake, OH 44145

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1619971041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13523 BARRETT PARKWAY DRIVE",
            "address_2": "SUITE 104",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630213802",
            "telephone_number": "636-938-6868",
            "fax_number": "636-938-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 HOAG DRIVE",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351494",
            "telephone_number": "440-930-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHILL",
        "first_name": "SUSAN",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "97506",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "COA.01176-NA",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "097506",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.