Individual provider Active NPI

Timothy E Knight, CRNA

  • Certified Registered Nurse Anesthetist
  • Youngstown, OH
National Provider Identifier
1699925040
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA-10271 Issued in OH
Practice address
3622 Belmont Ave
Ste1
Youngstown, OH 44505-1450
Phone
(330) 759-9350
Fax
(330) 759-9387
NPI assigned
Sep 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NA-10271 OH Primary
Certified Registered Nurse Anesthetist 367500000X RN-277085 OH
Certified Registered Nurse Anesthetist 367500000X 080364 OH

Addresses

Primary practice location

3622 Belmont Ave
Ste1
Youngstown, OH 44505-1450

Mailing address

3622 Belmont Ave
Ste1
Youngstown, OH 44505-1450
Phone (330) 759-9350

Other identifiers 2

IdentifierTypeStateIssuer
11943861OtherOHCAQH
2890117MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090210000695 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123183092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Safe Anesthesia Geneva LLCGroup PAC ID 4385771997, 34 clinicians

Practice addresses (Care Compare)

6847 N Chestnut St
Ravenna, OH 44266-3929
Phone (330) 297-0811

Hospital & facility affiliations

  • University Hospitals Portage Medical Center Hospital, Ravenna, OH, CCN 360078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
080364OHMDCertified Registered Nurse Anesthetist
NA-10271OHMDCertified Registered Nurse Anesthetist
RN-277085OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Anesthesia Geneva LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 25, 2017 Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince Sep 1, 2011 Accepting new patients
Safe Anesthesia Chardon LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Krishan K Aggarwal, MD MRCP Inc PastSince Nov 15, 2005 Accepting new patients
Advanced Anesthesia Associates,Inc Past Accepting new patients
Steel City Anesthesia, LLC Nurse Anesthetist, Certified Registered PastSince Aug 7, 2006 Accepting new patients

Locations

870 W Main St
Geneva, OH 44041
Phone (440) 415-0258

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

Interoperability endpoints

  • Direct secure messaging: tknight33136@ehrdirect.uhhospitals.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1699925040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 BELMONT AVE",
            "address_2": "STE1",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051450",
            "telephone_number": "330-759-9350",
            "fax_number": "330-759-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 BELMONT AVE",
            "address_2": "STE1",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051450",
            "telephone_number": "330-759-9350",
            "fax_number": "330-759-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "TIMOTHY",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-23",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "NA-10271",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN-277085",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "080364",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11943861",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2890117",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.