Active NPI
Robert Payne III, CRNA
- Certified Registered Nurse Anesthetist
- Fairlawn, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 143038
- Practice address
- 3557 Embassy Pkwy
Fairlawn, OH 44333-8358 - Phone
- (330) 670-1005
- NPI assigned
- Feb 10, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 452066 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 143038 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 143038 | OH | Primary |
Addresses
Primary practice location
3557 Embassy Pkwy
Fairlawn, OH 44333-8358
Mailing address
5024 Lake Forest Dr
Peninsula, OH 44264-9584
Phone (614) 603-3726
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1320 Mercy Dr NW
Canton, OH 44708-2614
Phone (330) 489-1000
3557 Embassy Pkwy
Akron, OH 44333-8358
Phone (440) 350-0832
7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500
Hospital & facility affiliations
- Crystal Clinic Orthopaedic Center
- Mercy Health - Tiffin Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 452066 | OH | MD | Registered Nurse |
| 143038 | OH | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Anesthesia Group, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southwest Ohio Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005
Organizations & group practices 2
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
- Canton, OH
- NPI 1639348113
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1588645188
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Akron, OH
- NPI 1669669917
-
- Special Hospital
- Akron, OH
- NPI 1053558056
-
- Special Hospital
- Barberton, OH
- NPI 1134602808
-
- Special Hospital
- Akron, OH
- NPI 1265678882
-
- Special Hospital
- Canton, OH
- NPI 1366002321
-
- Special Hospital
- Cuyahoga Falls, OH
- NPI 1427294131
-
- Special Hospital
- Barberton, OH
- NPI 1477799179
-
- Special Hospital
- Kent, OH
- NPI 1609012301
-
- Special Hospital
- Medina, OH
- NPI 1801032503
-
- Special Hospital
- Hudson, OH
- NPI 1891931598
-
- Special Hospital
- Akron, OH
- NPI 1922244623
-
- Special Hospital
- Akron, OH
- NPI 1992941504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1992402960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5024 LAKE FOREST DR",
"city": "PENINSULA",
"state": "OH",
"postal_code": "442649584",
"telephone_number": "614-603-3726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3557 EMBASSY PKWY",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443338358",
"telephone_number": "330-670-1005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-10",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "452066",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "143038",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "143038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.