Cory M Boyle
Individual provider Active NPI Certified Registered Nurse Anesthetist · Steubenville, OH
NPI 1801149463 · NPPES record last updated Nov 2, 2016
Key facts
- NPI
- 1801149463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RN614620 (PA)
- Practice address
- 4000 Johnson Rd
Steubenville, OH 43952-2364 - Phone
- (740) 264-8328
- Fax
- (740) 264-8419
- NPI assigned
- Oct 19, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Valley Gastroenterology Associates PC
Pittsburgh Gastroenterology Associates
Trinity Hospital Holding Company
Practice addresses (Care Compare)
100 Knowlson Ave
Beaver Falls, PA 15010-1634
Phone 72489121005311
2589 Boyce Plaza Rd
Upper St Clair, PA 15241-4907
Phone (412) 838-0400
4000 Johnson Rd
Steubenville, OH 43952-2364
Phone (740) 264-8110
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130211000368 | PA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9032363551 | Reassigns benefits to 3 organizations |
| I20131018001906 | OH | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9032363551 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CRNA.14563 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Hospital Holding Company | Current | Accepting new patients | |
| St Clair Anesthesiology Associates Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Trinity Hospital Holding Company | Current |
Accepting new patients | |
| Valley Gastroenterology Associates PC | Current |
Accepting new patients | |
| Pittsburgh Gastroenterology Associates | Current |
Accepting new patients | |
| Western Pennsylvania Anesthesia Associates, LTD. | Past | Accepting new patients |
Locations
819 N 1st St
Dennison, OH 44621
Phone (740) 922-0000
4000 Johnson Rd
Wintersville, OH 43952
Phone (740) 264-8011
1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000
100 Knowlson Ave
Beaver Falls, PA 15010
Phone (724) 891-2100
2602 Wilmington Rd
New Castle, PA 16105
Phone (724) 652-5505
2589 Boyce Plaza Rd
Ste 5
Pittsburgh, PA 15241
Phone (412) 232-8104
1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600
2589 Boyce Plaza Rd
Upper St Clair, PA 15241
Phone (412) 232-8104
109 Mount Wood Rd
Wheeling, WV 26003
Phone 3042332455146
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN614620 | PA | Yes |
| Certified Registered Nurse Anesthetist | 367500000X | APRN.CRNA.14563 | OH |
Addresses
Primary practice location
4000 Johnson Rd
Steubenville, OH 43952-2364
Mailing address
400 9TH St
Wellsville, OH 43968-1436
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0105047 | Medicaid | OH |
Other providers in Steubenville, OH
- Shawn David Bowers
- Denise Marie Boyd
- Maria Boyd
- Mary C. Boyd
- Jennifer Rebecca Boyer
- Linda Sue Boyle
- Martha Rodgers Boyles
- Betty J Brandt
- John A Brem
- Matthew Breuninger
All providers in Steubenville, OH · Certified Registered Nurse Anesthetist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.