Individual provider Active NPI

Zachary Caldwell

  • Certified Registered Nurse Anesthetist
  • Blue Ash, OH
National Provider Identifier
1639575236
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
COA.17077-NA Issued in OH
Practice address
1945 Cei Dr
Blue Ash, OH 45242-5664
Phone
(513) 569-3741
Fax
(513) 569-3941
NPI assigned
Nov 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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.17077-NA OH Primary

Addresses

Primary practice location

1945 Cei Dr
Blue Ash, OH 45242-5664

Mailing address

PO Box 63252
Cincinnati, OH 45264-0001
Phone (717) 263-5562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180626001532 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800112798 Reassigns benefits to 1 organization
I20190328002612 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800112798 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Maryland School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Day Medical PCGroup PAC ID 8022338946, 27 clinicians
Quality Medical Management CorpGroup PAC ID 5799193074, 27 clinicians

Practice addresses (Care Compare)

10721 Queens Blvd
Suite 4
Forest Hills, NY 11375-4451
Phone (516) 626-1000

1110 Hallock Ave
Port Jefferson Station, NY 11776-1210
Phone (631) 476-9100

5314 Roosevelt Ave
Suite 302
Woodside, NY 11377-4239
Phone (516) 626-1000

8708 Justice Ave
Suite 14
Elmhurst, NY 11373-4575
Phone (718) 507-8866

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.17077-NAOHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
New Day Medical PC CurrentSince Sep 18, 2025 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Feb 18, 2019 Accepting new patients
Quality Medical Management Corp Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2021 Accepting new patients
Chuansheng Wang Medical PC CurrentSince Nov 1, 2025 Accepting new patients
Stamford Anesthesiology Services, PC CurrentSince Jun 1, 2018 Accepting new patients
North Shore - Lij Anesthesiology, PC CurrentSince Jan 5, 2020 Accepting new patients

Locations

32 Strawberry Hill Ct
Stamford, CT 06902
Phone (203) 276-2000

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

1324 Motor Pkwy
Ste 101
Islandia, NY 11749
Phone (516) 850-8143

16203 Jamaica Ave
Ste 200
Jamaica, NY 11432
Phone (347) 429-7699

3636 33rd St
Ste 204
Long Island City, NY 11106
Phone (631) 446-1190

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

40 E 10th St
Ste 1W
New York, NY 10003
Phone (212) 344-9524

1110 Hallock Ave
Port Jefferson Station, NY 11776
Phone (631) 476-9100

Organizations & group practices 6

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": "1415404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1639575236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63252",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452640001",
            "telephone_number": "717-263-5562",
            "fax_number": "717-263-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 CEI DR",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425664",
            "telephone_number": "513-569-3741",
            "fax_number": "513-569-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "ZACHARY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-08",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "COA.17077-NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.