Active NPI
Charles Dorsey Myers III, CRNA
- Certified Registered Nurse Anesthetist
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 312989
- Practice address
- 3200 Vine St
Cincinnati, OH 45220 - Phone
- (513) 861-3100
- NPI assigned
- Dec 7, 2009
- Last updated
- Mar 4, 2019
- 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 | 312989 | OH | Primary |
Addresses
Primary practice location
3200 Vine St
Cincinnati, OH 45220
Mailing address
PO Box 632572
Cincinnati, OH 45263-2572
Phone (513) 865-5204
Other practice location 1
1241 Shawhan Rd
Morrow, OH 45152-9695
Phone (513) 865-5204
Other practice location 2
650 Joel Dr
Fort Campbell, KY 42223-5318
Phone (270) 798-8823
Other practice location 3
4030 Smith Rd Ste 325
Cincinnati, OH 45209-1937
Phone (513) 817-1172
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 312989 | Other | OH | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY, IN
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-2000
10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 865-1111
2925 Vernon PL
Suite 101
Cincinnati, OH 45219-2425
Phone (513) 872-4541
375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 862-2432
600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Phone (812) 537-1010
610 W Main St
Wilmington, OH 45177-2125
Phone (937) 382-6611
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 312989 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Group Practice, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ogi Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200
11333 Cornell Park Dr
Ste 100
Blue Ash, OH 45242
Phone (513) 569-1355
2925 Vernon Pl
Ste 101
Cincinnati, OH 45219
Phone (513) 872-4541
3310 Mercy Health Blvd
Ste 120
Cincinnati, OH 45211
Phone (513) 215-7960
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
4030 Smith Rd
Ste 325
Cincinnati, OH 45209
Phone (513) 817-1150
6480 Harrison Ave
Ste 200
Cincinnati, OH 45247
Phone (513) 354-7787
7810 5 Mile Rd
Ste B
Cincinnati, OH 45230
Phone (513) 977-9640
7360 Liberty One Dr
Ste 332
Liberty Township, OH 45044
10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206
4746 Montgomery Rd
Ste 100
Norwood, OH 45212
Phone (513) 569-1310
500 E Business Way
Sharonville, OH 45241
Phone (513) 251-7827
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Montgomery, OH
- NPI 1417951948
IN, KY, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Cincinnati, OH
- NPI 1962776807
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kettering, OH
- NPI 1689627739
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
dba Good Samaritan Surgery Center West
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1457964041
-
dba Good Samaritan Endoscopy Center North
- General Acute Care Hospital
- Montgomery, OH
- NPI 1477166064
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
dba Good Samaritan Hospital - Evendale
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1740893320
-
dba Good Samaritan Hand Surgery Center
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1851904445
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1962730788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 632572",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452632572",
"telephone_number": "513-865-5204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 VINE ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45220",
"telephone_number": "513-861-3100"
}
],
"practiceLocations": [
{
"address_1": "1241 Shawhan Rd",
"address_purpose": "LOCATION",
"city": "Morrow",
"state": "OH",
"postal_code": "451529695",
"country_code": "US",
"telephone_number": "513-865-5204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "650 Joel Dr",
"address_purpose": "LOCATION",
"city": "Fort Campbell",
"state": "KY",
"postal_code": "422235318",
"country_code": "US",
"telephone_number": "270-798-8823",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4030 Smith Rd Ste 325",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452091937",
"country_code": "US",
"telephone_number": "513-817-1172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "CHARLES",
"middle_name": "DORSEY",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-07",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "312989",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "312989",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.