George Korah Mattamana, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

COA.10047-NA Issued in OH

Practice address

4881 Sugar Maple Dr
88MDG/SGHJ
Wright Patterson Afb, OH 45433-5546

Phone

(937) 829-9033

NPI assigned

Jan 31, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sandusky Anesthesia LLCGroup PAC ID 3274895271, 117 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sandusky Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Circleville, OH
  • NPI 1770907859

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Associates of Cincinnati, Inc

  • Anesthesiology Physician
  • Cincinnati, OH
  • NPI 1316945173

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Services of Greater Dayton, LLC

  • Certified Registered Nurse Anesthetist
  • Beavercreek, OH
  • NPI 1407132830
  Medicare reassignment NPD
• Medical Center at Elizabeth Place LLC

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1639126220
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kettering Medical Center

  • General Acute Care Hospital
  • Kettering, OH
  • NPI 1043233984
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370044800000",
    "number": "1669650693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 ASHMONT CT",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453857060",
            "telephone_number": "937-829-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "address_2": "88MDG/SGHJ",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335546",
            "telephone_number": "937-829-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTAMANA",
        "first_name": "GEORGE",
        "middle_name": "KORAH",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-31",
        "last_updated": "2013-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2005020681",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "COA.10047-NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon K. Marti, D.O.
• Angel Lynn Martin, MSW, LCSW
• Bryant R Martin, M.D.
• Matthew Salah Masry, M.D.
• Jason Carlisle Massengill, M.D.
• Shannel Matthews, NP
• Catherine Mauser, CNM
• Teg Wayne McBride, PSYD, ABPP
• Hampton Lee McClendon, MD, FACS
• Paul Richard McCracken, IDMT

• Certified Registered Nurse Anesthetist in Wright Patterson Afb, OH
• Providers in Wright Patterson Afb, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2013; 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.