Individual provider Active NPI

Mathew Bryan Christman, CRNA

  • Certified Registered Nurse Anesthetist
  • Parkersburg, WV
National Provider Identifier
1750763561
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
79282 Issued in WV
Practice address
3211 Dudley Ave
Parkersburg, WV 26104
Phone
(304) 422-3904
Fax
(304) 422-3924
NPI assigned
Jun 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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 RN.366613 OH
Certified Registered Nurse Anesthetist 367500000X RN9352185 FL
Certified Registered Nurse Anesthetist 367500000X 79282 WV Primary

Addresses

Primary practice location

3211 Dudley Ave
Parkersburg, WV 26104

Mailing address

3211 Dudley Ave
Parkersburg, WV 26104-1813
Phone (304) 422-3904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150728003470 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082928643 Reassigns benefits to 2 organizations
I20170203002467 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082928643 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

111 S Grant Ave 3Rd FL
Columbus, OH 43215-4701
Phone (614) 566-9184

Hospital & facility affiliations

  • Ohiohealth O'Bleness Hospital Hospital, Athens, OH, CCN 360014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9352185FLMDCertified Registered Nurse Anesthetist
RN.366613OHMDCertified Registered Nurse Anesthetist
79282WVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Pars Neurosurgical Associates, Inc CurrentSince Aug 14, 2017 Accepting new patients
Ohiohealth Corporation Current Accepting new patients
Ohiohealth Corporation CurrentSince Feb 1, 2017 Accepting new patients
United Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2015 Accepting new patients
Marion Area Physicians LLC CurrentSince May 1, 2023 Accepting new patients
Ohiohealth Corporation Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2017 Accepting new patients
Mary Rutan Hospital Past Accepting new patients

Locations

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

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

3705 Olentangy River Rd
Columbus, OH 43214
Phone (614) 533-6620

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

Dept L3652
Columbus, OH 43260

1050 Delaware Ave
Marion, OH 43302
Phone (740) 383-7038

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

3211 Dudley Ave
Parkersburg, WV 26104
Phone (304) 422-3904

601 Avery St
Ste 501
Parkersburg, WV 26101
Phone (304) 422-3904

1212 Garfield Ave
Ste 300
Parkersburg, WV 26101
Phone (304) 424-4130

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.

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": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1750763561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 DUDLEY AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041813",
            "telephone_number": "304-422-3904",
            "fax_number": "304-422-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 DUDLEY AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "26104",
            "telephone_number": "304-422-3904",
            "fax_number": "304-422-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTMAN",
        "first_name": "MATHEW",
        "middle_name": "BRYAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN.366613",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "RN9352185",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "79282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.