Active NPI
Zachary Caldwell
- Certified Registered Nurse Anesthetist
- Blue Ash, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- COA.17077-NA
- 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
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 | 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, NY
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| COA.17077-NA | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Day Medical PC | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Current | Accepting new patients | |
| Quality Medical Management Corp | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Chuansheng Wang Medical PC | Current | Accepting new patients | |
| Stamford Anesthesiology Services, PC | Current | Accepting new patients | |
| North Shore - Lij Anesthesiology, PC | Current | 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.
-
- Anesthesiology Physician
- Flushing, NY
- NPI 1396131272
-
- Certified Registered Nurse Anesthetist
- Port Jefferson Station, NY
- NPI 1114502606
Nurse Anesthetist, Certified Registered
-
- Hepatology Physician
- Elmhurst, NY
- NPI 1891668117
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
-
- Anesthesiology Physician
- Stamford, CT
- NPI 1376608448
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
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.