Active NPI
Matthew Christian Killingsworth, CRNA
- Certified Registered Nurse Anesthetist
- Athens, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN.CRNA.0020926
- Practice address
- 55 Hospital Dr
Athens, OH 45701-2302 - Phone
- (614) 566-9871
- NPI assigned
- Sep 15, 2016
- Last updated
- Jan 17, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 94944 | WV | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN.CRNA.0020926 | OH | Primary |
Addresses
Primary practice location
55 Hospital Dr
Athens, OH 45701-2302
Mailing address
PO Box 7527
Dublin, OH 43017-0727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, OH
Enrollment records 2
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
Practice addresses (Care Compare)
55 Hospital Dr
Athens, OH 45701-2302
Phone (740) 566-4530
800 Garfield Ave
Parkersburg, WV 26101-5376
Phone (304) 424-2111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94944 | WV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Pars Neurosurgical Associates, Inc | Current | Accepting new patients | |
| United Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Camden-Clark Physician Corporation | Current | Accepting new patients | |
| Camden Clark Memorial Hospital Corporation | Past | Accepting new patients |
Locations
55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
Dept L3652
Columbus, OH 43260
1212 Garfield Ave
Ste 300
Parkersburg, WV 26101
Phone (304) 424-4130
3211 Dudley Ave
Parkersburg, WV 26104
Phone (304) 422-3904
601 Avery St
Ste 501
Parkersburg, WV 26101
Phone (304) 422-3904
800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161
800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405
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.
-
dba OhioHealth Physician Group, Inc
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
- Surgery Physician
- Parkersburg, WV
- NPI 1710125430
-
dba PARS Healthcare
- Neurological Surgery Physician
- Parkersburg, WV
- NPI 1457396152
-
- Anesthesiology Physician
- Parkersburg, WV
- NPI 1477512408
Nurse Anesthetist, Certified Registered
-
dba OhioHealth Physician Group Inc
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
Nurse Anesthetist, Certified Registered
-
dba Camden Clark Medical Center
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1699704254
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba O'Bleness Memorial Hospital
- General Acute Care Hospital
- Athens, OH
- NPI 1710913462
-
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1508160268
-
dba Camden Clark Medical Center
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1699704254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1972051282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7527",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430170727",
"fax_number": "614-544-6370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 HOSPITAL DR",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012302",
"telephone_number": "614-566-9871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILLINGSWORTH",
"first_name": "MATTHEW",
"middle_name": "CHRISTIAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-15",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "94944",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "APRN.CRNA.0020926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.