Individual provider Active NPI

Christopher Derrick Stroh, CRNA

  • Certified Registered Nurse Anesthetist
  • Winston Salem, NC
National Provider Identifier
1669030789
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP143320 Issued in TX
Practice address
191 Edgeway Dr Apt 601
Winston Salem, NC 27104-4257
Phone
(513) 205-6417
NPI assigned
Jun 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 297829 NC
Certified Registered Nurse Anesthetist 367500000X AP143320 TX Primary

Addresses

Primary practice location

191 Edgeway Dr Apt 601
Winston Salem, NC 27104-4257

Mailing address

191 Edgeway Dr Apt 601
Winston Salem, NC 27104-4257
Phone (513) 205-6417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA, OK3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191028001309 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002148855 Reassigns benefits to 6 organizations
I20220901000667 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002148855 Reassigns benefits to 2 organizations
I20230204000198 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002148855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Celebrity Anesthesia PLLCGroup PAC ID 8325467608, 23 clinicians

Practice addresses (Care Compare)

5329 Serene Hills Dr
Suite 100
Austin, TX 78738-1257
Phone (512) 593-1945

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
297829NCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Oklahoma, PLLC CurrentSince Jan 23, 2023 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients
Northstar Anesthesia II PA Nurse Anesthetist, Certified Registered CurrentSince Oct 3, 2019 Accepting new patients
Austin Gastroenterology Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2023 Accepting new patients
Celebrity Anesthesia PLLC CurrentSince Jul 1, 2024 Accepting new patients
Northstar Anesthesia III PA Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2020 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 28, 2023 Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

917 W Washington Blvd
Chicago, IL 60607
Phone (312) 248-3655

1027 E Cherry St
Cushing, OK 74023
Phone (918) 225-2915

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

8015 Shoal Creek Blvd
Ste 300
Austin, TX 78757
Phone (512) 371-1519

8015 Shoal Creek Blvd
Austin, TX 78757
Phone (512) 971-1519

2200 Park Bend Dr
Bldg 3
Austin, TX 78758
Phone (512) 730-0471

4310 James Casey St
Ste 4B
Austin, TX 78745
Phone (512) 407-8444

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

3030 S Gessner Rd
Ste 150
Houston, TX 77063
Phone (713) 587-0909

5329 Serene Hills Dr
Ste 100
Lakeway, TX 78738
Phone (512) 357-8220

1361 Hero Way
Ste 100
Leander, TX 78641
Phone (512) 371-1519

717 Generations Dr
Ste A
New Braunfels, TX 78130
Phone (512) 593-1945

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

8550 Datapoint Dr
Ste 100
San Antonio, TX 78229
Phone (210) 615-7232

Organizations & group practices 9

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": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1669030789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 EDGEWAY DR APT 601",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271044257",
            "telephone_number": "513-205-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 EDGEWAY DR APT 601",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271044257",
            "telephone_number": "513-205-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROH",
        "first_name": "CHRISTOPHER",
        "middle_name": "DERRICK",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "297829",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP143320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.