Active NPI
Timothy G Kiscoe, CRNA
- Certified Registered Nurse Anesthetist
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN.CRNA.019711
- Practice address
- 7500 State Rd
Cincinnati, OH 45255-2439 - Phone
- (513) 624-4500
- NPI assigned
- Apr 2, 2018
- 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 | 308963 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN.CRNA.019711 | OH | Primary |
Addresses
Primary practice location
7500 State Rd
Cincinnati, OH 45255-2439
Mailing address
4921 Relleum Ave
Cincinnati, OH 45238-3805
Phone (859) 803-5302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
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
2400 Miami Valley Dr
Dayton, OH 45459-4774
Phone (937) 438-2400
7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500
Hospital & facility affiliations
- Miami Valley Hospital
- Mercy Health-Anderson Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308963 | OH | MD | Registered Nurse |
| APRN.CRNA.019711 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amsurg Cincinnati Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southwest Ohio Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| PHS Anesthesia Billing, LLC | Current | Accepting new patients | |
| Arlington Anesthesia Partners LLC | Current | Accepting new patients |
Locations
3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209
L6147
Cincinnati, OH 45270
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
9275 Montgomery Rd
Montgomery, OH 45242
Phone (513) 936-4510
9275 Montgomery Rd
Ste 400
Montgomery, OH 45242
Phone (513) 936-4518
Interoperability endpoints
- tkiscoe468861@direct.bsmhealth.org
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.
-
- Anesthesiology Physician
- Middletown, OH
- NPI 1578361044
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1588645188
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Cincinnati, OH
- NPI 1053713743
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Circleville, OH
- NPI 1578209342
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1235239211
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1679079586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4921 RELLEUM AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452383805",
"telephone_number": "859-803-5302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 STATE RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452552439",
"telephone_number": "513-624-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISCOE",
"first_name": "TIMOTHY",
"middle_name": "G",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-02",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "308963",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "APRN.CRNA.019711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.