Individual provider Active NPI

Charles Dorsey Myers III, CRNA

  • Certified Registered Nurse Anesthetist
  • Cincinnati, OH
National Provider Identifier
1962730788
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
312989 Issued in OH
Practice address
3200 Vine St
Cincinnati, OH 45220
Phone
(513) 861-3100
NPI assigned
Dec 7, 2009
Last updated
Mar 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
312989OtherOHLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100511000608 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749318830 Reassigns benefits to 3 organizations
I20250904001075 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749318830 Reassigns benefits to 1 organization
I20250923000204 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749318830 Reassigns benefits to 1 organization

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
Anesthesia Group Practice IncGroup PAC ID 1254245137, 396 clinicians
Ogi Anesthesia, LLCGroup PAC ID 8224290598, 35 clinicians
Kettering Anesthesia Associates, IncGroup PAC ID 0648170365, 54 clinicians

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 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
312989OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Group Practice, Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 17, 2010 Accepting new patients
Ogi Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 10, 2025 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.

Hospital & facility affiliations 7

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": "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.

Verify at the official NPI Registry.