Active NPI
Chester Servick, CRNA
- Certified Registered Nurse Anesthetist
- Oregon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN277026
- Practice address
- 2801 Bay Park Dr
Department of Surgery
Oregon, OH 43616-4920 - Phone
- (419) 690-7652
- Fax
- (419) 697-7726
- NPI assigned
- Aug 26, 2005
- 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 | RN277026 | OH | Primary |
Addresses
Primary practice location
2801 Bay Park Dr
Department of Surgery
Oregon, OH 43616-4920
Mailing address
567 Bradford CT
Elmore, OH 43416-9553
Phone (419) 862-0044
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5182111 | Medicaid | MI | |
| 000000479840 | Other | OH | ANTHEM |
| 04097A | Other | OH | PARAMOUNT |
| 4486239 | Medicaid | MI | |
| 341881145-003 | Other | OH | MMO |
| P00378258 | Other | OH | RRMC |
| 2333522 | Medicaid | OH | |
| 5182111 | Other | MI | MICHIGAN MEDICAID |
| 000000246991 | Other | OH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500
Hospital & facility affiliations
- Mercy St Vincent Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Ohio Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Ohio LLC | Current | Accepting new patients | |
| Southwest Ohio Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southern Crescent Anesthesiology, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesiology Consultants of Toledo, Inc | Past | Accepting new patients | |
| Blair County Anesthesia, P.C. | Past | Accepting new patients | |
| Lexington Anesthesia Associates, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
2600 Navarre Ave
Fl 3
Oregon, OH 43616
Phone (419) 696-7701
2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200
2615 E High St
Springfield, OH 45505
Phone (888) 861-3994
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1588645188
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Springfield, OH
- NPI 1417276429
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1255768107
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Toledo, OH
- NPI 1366482119
-
- Anesthesiology Physician
- Altoona, PA
- NPI 1003864612
-
- Certified Registered Nurse Anesthetist
- Altoona, PA
- NPI 1932144029
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1275585879
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1972596856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "567 BRADFORD CT",
"city": "ELMORE",
"state": "OH",
"postal_code": "434169553",
"telephone_number": "419-862-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 BAY PARK DR",
"address_2": "DEPARTMENT OF SURGERY",
"city": "OREGON",
"state": "OH",
"postal_code": "436164920",
"telephone_number": "419-690-7652",
"fax_number": "419-697-7726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERVICK",
"first_name": "CHESTER",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN277026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5182111",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000479840",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "04097A",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4486239",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMO",
"identifier": "341881145-003",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "P00378258",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2333522",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN MEDICAID",
"identifier": "5182111",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000246991",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oregon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.