Active NPI
Allen E Teague, CRNA
- Certified Registered Nurse Anesthetist
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN153039
- Practice address
- 2142 N Cove Blvd
Toledo, OH 43606-3895 - Phone
- (419) 291-4491
- Fax
- (419) 479-6905
- NPI assigned
- Jul 19, 2006
- Last updated
- Mar 17, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN153039 | OH | Primary |
Addresses
Primary practice location
2142 N Cove Blvd
Toledo, OH 43606-3895
Mailing address
1 Seagate Ste 800
Toledo, OH 43604-1558
Phone (330) 682-0582
Other practice location 1
2901 N Reynolds Rd
Toledo, OH 43615-2035
Phone (419) 578-7700
Other practice location 2
5200 Harroun Rd
Sylvania, OH 43560-2168
Phone (419) 824-1716
Other practice location 3
832 S Main St
Orrville, OH 44667-2208
Phone (330) 682-3010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000335311 | Other | ANTHEM | |
| 0672704 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN153039 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westgate Medical Anesthesia Group | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Aultman North Canton Medical Group | Past | Accepting new patients | |
| Grady Anesthesia Services, Inc | Past | Accepting new patients | |
| Crna of Blanchard Valley LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Westgate Pain Management Group, LLC | Past | Accepting new patients |
Organizations & group practices 5
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.
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- Multi-Specialty Clinic/Center
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- Findlay, OH
- NPI 1336196799
Nurse Anesthetist, Certified Registered
-
- Specialist
- Delaware, OH
- NPI 1629014436
-
- Anesthesiology Physician
- Cleveland, OH
- NPI 1972557080
Nurse Anesthetist, Certified Registered
-
- Interventional Pain Medicine Physician
- Cleveland, OH
- NPI 1912951013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1760401558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SEAGATE STE 800",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436041558",
"telephone_number": "330-682-0582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2142 N COVE BLVD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063895",
"telephone_number": "419-291-4491",
"fax_number": "419-479-6905"
}
],
"practiceLocations": [
{
"address_1": "2901 N Reynolds Rd",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436152035",
"country_code": "US",
"telephone_number": "419-578-7700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5200 Harroun Rd",
"address_purpose": "LOCATION",
"city": "Sylvania",
"state": "OH",
"postal_code": "435602168",
"country_code": "US",
"telephone_number": "419-824-1716",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "832 S Main St",
"address_purpose": "LOCATION",
"city": "Orrville",
"state": "OH",
"postal_code": "446672208",
"country_code": "US",
"telephone_number": "330-682-3010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEAGUE",
"first_name": "ALLEN",
"middle_name": "E",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN153039",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000335311",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0672704",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.