Active NPI
Kirk Fiester, CRNA
- Certified Registered Nurse Anesthetist
- Marion, OH
National Provider Identifier
1659316123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- COA.06849-NA
- Practice address
- 1050 Delaware Ave
Marion, OH 43302-6416 - Phone
- (740) 383-7778
- Fax
- (740) 375-8118
- NPI assigned
- Jun 18, 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 | NA06849 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | COA.06849-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 |
|---|---|---|---|
| 2299187 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kfiester54938@direct.ohiohealth.com | OhioHealth Physician Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.06849-NA | OH | MD | Certified Registered Nurse Anesthetist |
| NA06849 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion Area Physicians LLC | Current | Accepting new patients | |
| Anesthesia Partners, LTD. | Past | Accepting new patients |
Locations
Dept L3652
Columbus, OH 43260
921 E Franklin St
Kenton, OH 43326
Phone (419) 673-0761
1050 Delaware Ave
Marion, OH 43302
Phone (740) 383-7038
1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Marion, OH
- NPI 1619230802
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1043270465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1659316123",
"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": "FIESTER",
"first_name": "KIRK",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-18",
"last_updated": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "NA06849",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "COA.06849-NA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2299187",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kfiester54938@direct.ohiohealth.com",
"affiliation": "Y",
"affiliationName": "OhioHealth Physician Group",
"address_1": "1050 Delaware Ave",
"city": "Marion",
"state": "OH",
"country_code": "US",
"postal_code": "433026416",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.