Individual provider Active NPI

Cory M Boyle

  • Certified Registered Nurse Anesthetist
  • Steubenville, OH
National Provider Identifier
1801149463
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN614620 Issued in PA
Practice address
4000 Johnson Rd
Steubenville, OH 43952-2364
Phone
(740) 264-8328
Fax
(740) 264-8419
NPI assigned
Oct 19, 2012
Last updated
Nov 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN614620 PA Primary
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

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Valley Gastroenterology Associates PCGroup PAC ID 4688646235, 25 clinicians
Pittsburgh Gastroenterology AssociatesGroup PAC ID 2567457740, 26 clinicians
Trinity Hospital Holding CompanyGroup PAC ID 0244123834, 38 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CRNA.14563OHMDCertified Registered Nurse Anesthetist
RN614620PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Hospital Holding Company CurrentSince Jun 1, 2014 Accepting new patients
St Clair Anesthesiology Associates Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 13, 2021 Accepting new patients
Trinity Hospital Holding Company Current Accepting new patients
Pittsburgh Gastroenterology Associates CurrentSince Jul 1, 2023 Accepting new patients
Valley Gastroenterology Associates PC CurrentSince Dec 1, 2022 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

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

2589 Boyce Plaza Rd
Ste 5
Pittsburgh, PA 15241
Phone (412) 232-8104

2589 Boyce Plaza Rd
Upper St Clair, PA 15241
Phone (412) 232-8104

109 Mount Wood Rd
Wheeling, WV 26003
Phone 3042332455146

Organizations & group practices 6

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": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1801149463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 9TH ST",
            "city": "WELLSVILLE",
            "state": "OH",
            "postal_code": "439681436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 JOHNSON RD",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522364",
            "telephone_number": "740-264-8328",
            "fax_number": "740-264-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "CORY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-19",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN614620",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.14563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.