Active NPI
Anthony Michael Grilliot, CRNA
- Certified Registered Nurse Anesthetist
- Lima, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN.CRNA.019559
- Practice address
- 1001 Bellefontaine Ave
Lima, OH 45804-2800 - Phone
- (419) 228-3335
- NPI assigned
- Aug 24, 2017
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.345017 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN.CRNA.019559 | OH | Primary |
Addresses
Primary practice location
1001 Bellefontaine Ave
Lima, OH 45804-2800
Mailing address
1825 Barnhart Rd
Troy, OH 45373-9589
Phone (937) 552-9420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000
5050 N Clinton St
Fort Wayne, IN 46825-5886
Phone (260) 484-8551
512 N Cable Rd
Lima, OH 45805-2133
Phone (419) 228-2600
Hospital & facility affiliations
- Orthopaedic Hospital at Parkview North
- Miami Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.345017 | OH | MD | Registered Nurse |
| APRN.CRNA.019559 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cable Sleep LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Surgery One Anesthesia, LLC | Current | Accepting new patients | |
| PHS Anesthesia Billing, LLC | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
5050 N Clinton St
Fort Wayne, IN 46825
Phone (219) 484-8551
5052 N Clinton St
Fort Wayne, IN 46825
Phone (260) 408-2203
11130 Parkview Circle Dr
Fort Wayne, IN 46845
Phone (260) 266-6221
11420 Parkview Circle Dr
Fort Wayne, IN 46845
Phone (260) 482-5194
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
Organizations & group practices 4
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
- Lima, OH
- NPI 1487293866
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Middletown, OH
- NPI 1578361044
-
- Anesthesiology Physician
- Fort Wayne, IN
- NPI 1144724402
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
-
- Special Hospital
- Fort Wayne, IN
- NPI 1568664613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520208000000",
"number": "1659898211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 BARNHART RD",
"city": "TROY",
"state": "OH",
"postal_code": "453739589",
"telephone_number": "937-552-9420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 BELLEFONTAINE AVE",
"city": "LIMA",
"state": "OH",
"postal_code": "458042800",
"telephone_number": "419-228-3335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRILLIOT",
"first_name": "ANTHONY",
"middle_name": "MICHAEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-24",
"last_updated": "2018-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.345017",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "APRN.CRNA.019559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; 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.