Active NPI
Cynthia Suzanne Ketchmark Green, CRNA
- Certified Registered Nurse Anesthetist
- Pittsburgh, PA
National Provider Identifier
1790759272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN285074L
- Practice address
- 300 Halket St
Magee-Womens Hospital
Pittsburgh, PA 15213-3108 - Phone
- (412) 641-4260
- NPI assigned
- Feb 14, 2006
- Last updated
- Oct 13, 2020
- Sex
- Female
- 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 | RN285074L | PA | Primary |
Addresses
Primary practice location
300 Halket St
Magee-Womens Hospital
Pittsburgh, PA 15213-3108
Mailing address
300 Halket St
Magee-Womens Hospital
Pittsburgh, PA 15213-3108
Phone (412) 641-4260
Other practice location 1
320 E North Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-6581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001685963 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cketchmarkgreen11004@direct.ahn.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 Carlisle St
Natrona Heights, PA 15065-1152
Phone (724) 226-7380
320 E N Ave
Pittsburgh, PA 15212-4756
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.9 of 100
- Quality
- 85.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Western Pennsylvania Anesthesia Associates, LTD. | Past | Accepting new patients |
Locations
1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100
320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131
Interoperability endpoints
- cketchmarkgreen11004@direct.ahn.org
Organizations & group practices 4
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.
-
dba AHN-Primary Care Bethel Park
- Family Medicine Physician
- Bethel Park, PA
- NPI 1073081493
-
dba AHN Primary Care Mobile Clinic
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
- Pain Medicine (Anesthesiology) Physician
- Pittsburgh, PA
- NPI 1386639847
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Allegheny General Hospital
- General Acute Care Hospital
- Pittsburgh, PA
- NPI 1285667493
-
dba Allegheny General Hospital - OP Psych
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pittsburgh, PA
- NPI 1295857530
Hospital
-
dba Allegheny General Hospital - Life Flight
- Air Ambulance
- Pittsburgh, PA
- NPI 1821110172
Hospital
-
dba Allegheny General Hospital
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pittsburgh, PA
- NPI 1912029265
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1790759272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 HALKET ST",
"address_2": "MAGEE-WOMENS HOSPITAL",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152133108",
"telephone_number": "412-641-4260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HALKET ST",
"address_2": "MAGEE-WOMENS HOSPITAL",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152133108",
"telephone_number": "412-641-4260"
}
],
"practiceLocations": [
{
"address_1": "320 E North Ave",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152124756",
"country_code": "US",
"telephone_number": "412-359-6581",
"fax_number": "412-359-3483",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KETCHMARK GREEN",
"first_name": "CYNTHIA",
"middle_name": "SUZANNE",
"name_prefix": "Prof.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN285074L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001685963",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cketchmarkgreen11004@direct.ahn.org",
"affiliation": "N",
"address_1": "320 E North Ave",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152124756",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.