Individual provider Active NPI

Adam C Longberry, RN

  • Certified Registered Nurse Anesthetist
  • Columbus, OH
National Provider Identifier
1932554078
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.19256 Issued in OH
Practice address
111 S Grant Ave FL 3
Columbus, OH 43215-4701
Phone
(614) 566-9871
NPI assigned
Apr 26, 2016
Last updated
Sep 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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 APRN.CRNA.19256 OH Primary
Registered Nurse 163W00000X RN342686 OH

Addresses

Primary practice location

111 S Grant Ave FL 3
Columbus, OH 43215-4701

Mailing address

5400 Frantz Rd Ste 250
Dublin, OH 43016-6102
Phone (614) 544-6161

Other practice location 1

793 W State St
Columbus, OH 43222-1551
Phone (770) 643-5619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160913002959 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850687062 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PHS Anesthesia Billing, LLCGroup PAC ID 2264958412, 241 clinicians
Arlington Anesthesia Partners LLCGroup PAC ID 7618344698, 91 clinicians
Marion Area Physicians LLCGroup PAC ID 1850549437, 179 clinicians
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians
Anesthesia Associates of Lima IncGroup PAC ID 4486553013, 53 clinicians

Practice addresses (Care Compare)

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000

100 Medical Ctr Dr
Springfield, OH 45504-2687
Phone (614) 352-6479

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 998-4575

1050 Delaware Ave
Marion, OH 43302-6416
Phone (740) 383-7936

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

3130 N Co Rd
25A
Troy, OH 45373
Phone (937) 440-4000

600 N Pickaway St
Circleville, OH 43113-1447
Phone (614) 352-6479

730 W Market St
Lima, OH 45801-4602
Phone (419) 277-3361

800 W Main St
Coldwater, OH 45828-1613
Phone (419) 678-2341

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN342686OHMDRegistered Nurse
APRN.CRNA.19256OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Blanchard Valley Regional Health Center Current Accepting new patients
Genesis Anesthesia Providers, LLC CurrentSince Oct 27, 2022 Accepting new patients
Anesthesia Associates of Cincinnati, Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 Accepting new patients
Diagnostic Pathology, LLC Current Accepting new patients
Anesthesia Group Practice, Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2022 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Jul 27, 2022 Accepting new patients
Anesthesia Associates of Lima Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 14, 2021 Accepting new patients
Mercer County Joint Township Community Hospital CurrentSince Nov 1, 2021 Accepting new patients
Mary Rutan Hospital CurrentSince Apr 1, 2025 Accepting new patients
Mary Rutan Hospital CurrentSince Apr 1, 2025 Accepting new patients
Arlington Anesthesia Partners LLC CurrentSince Mar 25, 2023 Accepting new patients
Blanchard Valley Regional Health Center CurrentSince Feb 23, 2022 Accepting new patients
PHS Anesthesia Billing, LLC CurrentSince Oct 4, 2025 Accepting new patients
Ohiohealth Corporation CurrentSince Apr 1, 2020 Accepting new patients
Blanchard Valley Regional Health Center Nurse Anesthetist, Certified Registered CurrentSince Feb 23, 2022 Accepting new patients
Mercer County Joint Township Community Hospital CurrentSince Nov 1, 2021 Accepting new patients
Marion Area Physicians LLC CurrentSince Feb 1, 2025 Accepting new patients
Dayton Anesthesia & Pain Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 14, 2024 Accepting new patients
Joint Township District Memorial Hospital CurrentSince Oct 3, 2022 Accepting new patients
Premier Anesthesia of Ohio LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 10, 2016 Accepting new patients
Mary Rutan Hospital Past Accepting new patients
JTDM Family Practice LLC Registered Nurse Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations (25 of 29)

3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000

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

139 Garau St
Bluffton, OH 45817
Phone (419) 358-9010

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341

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

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

4845 Knightsbridge Blvd
Ste 110
Columbus, OH 43214
Phone (614) 273-0400

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

Dept L3652
Columbus, OH 43260

L3688
Columbus, OH 43260

L3982
Columbus, OH 43260

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

1709 Medical Blvd
Findlay, OH 45840
Phone (419) 429-0409

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

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

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

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

6520 W Campus Oval
New Albany, OH 43054
Phone (614) 413-2233

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 6

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": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1932554078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 FRANTZ RD STE 250",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430166102",
            "telephone_number": "614-544-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GRANT AVE FL 3",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154701",
            "telephone_number": "614-566-9871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "793 W State St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432221551",
            "country_code": "US",
            "telephone_number": "770-643-5619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGBERRY",
        "first_name": "ADAM",
        "middle_name": "C",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-26",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.19256",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN342686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.