Individual provider Active NPI

Dashayne L Wadsworth, CRNA

  • Certified Registered Nurse Anesthetist
  • Columbus, OH
National Provider Identifier
1750623070
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
14587NA Issued in OH
Practice address
111 S Grant Ave
3Rd Floor
Columbus, OH 43215-4701
Phone
(614) 566-9871
Fax
(614) 566-9503
NPI assigned
Mar 25, 2013
Last updated
Jun 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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 14587NA OH Primary

Addresses

Primary practice location

111 S Grant Ave
3Rd Floor
Columbus, OH 43215-4701

Mailing address

5400 Frantz Rd
Ste 250
Dublin, OH 43016-6102
Phone (614) 544-6161

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131106000409 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688809395 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14587NAOHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
New Albany Orthopedic Anesthesia LLC CurrentSince Feb 27, 2025 Accepting new patients
Ohiohealth Corporation CurrentSince Sep 18, 2013 Accepting new patients
Ohiohealth Corporation Nurse Anesthetist, Certified Registered CurrentSince Sep 18, 2013 Accepting new patients
Anesthesia Group Practice, Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 18, 2024 Accepting new patients
Mask Anesthesia Consultants Inc CurrentSince Mar 15, 2022 Accepting new patients
Ohiohealth Corporation Current Accepting new patients
Orange ASC, LTD Past Accepting new patients

Locations

111 S Grant Ave
Fl 3
Columbus, OH 43215
Phone (614) 566-9871

275 Taylor Station Rd
Columbus, OH 43213
Phone (614) 566-9983

3600 Stelzer Rd
Ste 100
Columbus, OH 43219
Phone (614) 255-2900

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

5100 W Broad St
New Rome, OH 43228
Phone (614) 544-1000

1030 Refugee Rd
Ste 160
Pickerington, OH 43147
Phone (614) 575-6310

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1750623070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 FRANTZ RD",
            "address_2": "STE 250",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430166102",
            "telephone_number": "614-544-6161",
            "fax_number": "614-544-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GRANT AVE",
            "address_2": "3RD FLOOR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154701",
            "telephone_number": "614-566-9871",
            "fax_number": "614-566-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADSWORTH",
        "first_name": "DASHAYNE",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "14587NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.