Active NPI
John Steven Tardy, CRNA
- Certified Registered Nurse Anesthetist
- Ashland, KY
National Provider Identifier
1699740597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1278A
- Practice address
- 2201 Lexington Ave
Ashland, KY 41101 - Phone
- (606) 327-4000
- NPI assigned
- Feb 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1278A | KY | Primary |
Addresses
Primary practice location
2201 Lexington Ave
Ashland, KY 41101
Mailing address
3785 Reliable Parkway
Chicago, IL 60686-0037
Phone (316) 281-3700
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74008707 | Medicaid | KY | |
| 000000300018 | Other | KY | ANTHEM BLUE CROSS BLUE SHIELD |
| 0066937000 | Medicaid | WV | |
| 2521328 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28745 | WV | MD | Psychiatry Physician |
| 1278A | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashland Hospital Corporation | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| River Cities Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Ashland, KY
- NPI 1851346720
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Huntington, WV
- NPI 1699845164
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1699740597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3785 RELIABLE PARKWAY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606860037",
"telephone_number": "316-281-3700",
"fax_number": "316-282-4322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 LEXINGTON AVE",
"city": "ASHLAND",
"state": "KY",
"postal_code": "41101",
"telephone_number": "606-327-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARDY",
"first_name": "JOHN",
"middle_name": "STEVEN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "1278A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74008707",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
"identifier": "000000300018",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0066937000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2521328",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.