Active NPI
Jonathan Scott Grist, CRNA
- Certified Registered Nurse Anesthetist
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN356025-1
- Practice address
- 1044 Belmont Ave
Youngstown, OH 44504-1006 - Phone
- (330) 480-3658
- Fax
- (330) 480-3439
- NPI assigned
- Aug 30, 2013
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 265331 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | RN356025-1 | OH | Primary |
Addresses
Primary practice location
1044 Belmont Ave
Youngstown, OH 44504-1006
Mailing address
4135 Boardman Canfield Rd
Suite 101
Canfield, OH 44406-9803
Phone (330) 286-5330
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730513342 | Medicaid | NC | |
| 185VN | Other | NC | BCBS |
| PENDING | Other | OH | MEDICARE PTAN |
| PENDING | Medicaid | OH |
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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 480-3658
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 265331 | NC | MD | Certified Registered Nurse Anesthetist |
| RN356025-1 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Ohio LLC | Current | Accepting new patients | |
| Bel-Park Anesthesia Associates, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southwest Ohio Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia & Intensive Care Consultants,Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Melius Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Penn-Ohio Associates in Anesthesiology, LLC | Past | Accepting new patients |
Locations
4135 Boardman Canfield Rd
Ste 101
Canfield, OH 44406
Phone (330) 532-7215
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
2615 E High St
Springfield, OH 45505
Phone (888) 861-3994
8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
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.
-
- Anesthesiology Physician
- Youngstown, OH
- NPI 1508813528
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Springfield, OH
- NPI 1417276429
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1588645188
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Batavia, OH
- NPI 1164859013
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Chardon, OH
- NPI 1588186720
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Sharon, PA
- NPI 1184874869
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health St Elizabeth Boardman Hospital
- General Acute Care Hospital
- Youngstown, OH
- NPI 1790868982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1730513342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4135 BOARDMAN CANFIELD RD",
"address_2": "SUITE 101",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444069803",
"telephone_number": "330-286-5330",
"fax_number": "330-286-5396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 BELMONT AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041006",
"telephone_number": "330-480-3658",
"fax_number": "330-480-3439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIST",
"first_name": "JONATHAN",
"middle_name": "SCOTT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-30",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "265331",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN356025-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730513342",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "185VN",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "PENDING",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"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 Feb 8, 2016; 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.