Individual provider Active NPI

Travis Brian Terrell, CRNA

  • Certified Registered Nurse Anesthetist
  • Akron, OH
National Provider Identifier
1720154503
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA-09117 Issued in OH
Practice address
1 Perkins SQ
Akron, OH 44308-1063
Phone
(330) 543-3000
NPI assigned
Nov 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NA-09117 OH Primary

Addresses

Primary practice location

1 Perkins SQ
Akron, OH 44308-1063

Mailing address

477 Aqueduct St
Akron, OH 44303-1554
Phone (330) 867-4597

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070220000179 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355443524 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NA-09117OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Medical Center of Akron CurrentSince Jan 1, 2012 Accepting new patients
Children's Hospital Medical Center of Akron Current Accepting new patients
Gastroenterology Group Inc CurrentSince May 1, 2025 Accepting new patients
Children's Hospital Medical Center of Akron CurrentSince Jan 1, 2012 Accepting new patients
Akron Digestive Disease Consultants, Inc Nurse Anesthetist, Certified Registered CurrentSince May 1, 2025 Accepting new patients
Falls Anesthesia Group Inc Past Accepting new patients
Anesthesia for Children Past Accepting new patients

Locations

570 White Pond Dr
Ste 150
Akron, OH 44320
Phone (330) 869-0173

3800 Embassy Pkwy
Ste 100
Akron, OH 44333

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

6505 Market St
Youngstown, OH 44512
Phone (330) 726-2100

Organizations & group practices 7

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": "1164499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720154503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 AQUEDUCT ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031554",
            "telephone_number": "330-867-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PERKINS SQ",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081063",
            "telephone_number": "330-543-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "TRAVIS",
        "middle_name": "BRIAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "NA-09117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.