Active NPI
James David Beebout, CRNA
- Certified Registered Nurse Anesthetist
- Marion, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- COA.07292-NA
- Practice address
- 1050 Delaware Ave
Marion, OH 43302-6416 - Phone
- (740) 383-7778
- Fax
- (740) 375-8118
- NPI assigned
- Jul 5, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN245767 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | COA.07292-NA | OH | Primary |
Addresses
Primary practice location
1050 Delaware Ave
Marion, OH 43302-6416
Mailing address
1050 Delaware Ave
Marion, OH 43302-6416
Phone (740) 383-7778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2389713 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040611000364 | OH | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2769389899 | Reassigns benefits to 4 organizations |
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
- Arlington Anesthesia Partners LLCNorth Central Ohio Family Care Center Inc
Practice addresses (Care Compare)
1375 Stringtown Rd
Grove City, OH 43123-8911
Phone (614) 352-6479
269 Portland Way S
Galion, OH 44833-2312
Phone (419) 468-4841
2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505
629 N Sandusky Ave
Bucyrus, OH 44820-1821
Phone (419) 562-4677
715 Richland Mall
Ontario, OH 44906-3802
Phone (567) 307-7557
Hospital & facility affiliations
- Avita Ontario
- Bucyrus Community Hospital
- Galion Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.07292-NA | OH | MD | Certified Registered Nurse Anesthetist |
| RN245767 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion Area Physicians LLC | Current | Accepting new patients | |
| Firelands Anesthesia Associates, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Grady Anesthesia Services, Inc | Past | Accepting new patients |
Locations
Dept L3652
Columbus, OH 43260
561 W Central Ave
Delaware, OH 43015
Phone (614) 566-9983
269 Portland Way S
Galion, OH 44833
Phone (419) 468-4841
921 E Franklin St
Kenton, OH 43326
Phone (419) 673-0761
1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874
1167 Independence Ave
Marion, OH 43302
Phone (614) 352-6479
1050 Delaware Ave
Marion, OH 43302
Phone (740) 383-7038
651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015
1100 Neal Zick Rd
Willard, OH 44890
Phone (419) 933-2811
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Willard, OH
- NPI 1811906340
Nurse Anesthetist, Certified Registered, OH
-
- Specialist
- Delaware, OH
- NPI 1629014436
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412640000000",
"number": "1649201047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 DELAWARE AVE",
"city": "MARION",
"state": "OH",
"postal_code": "433026416",
"telephone_number": "740-383-7778",
"fax_number": "740-375-8118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 DELAWARE AVE",
"city": "MARION",
"state": "OH",
"postal_code": "433026416",
"telephone_number": "740-383-7778",
"fax_number": "740-375-8118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEEBOUT",
"first_name": "JAMES",
"middle_name": "DAVID",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2014-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN245767",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "COA.07292-NA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2389713",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.