Individual provider Active NPI

Kara Michele Fourman, CRNA

  • Certified Registered Nurse Anesthetist
  • Toledo, OH
National Provider Identifier
1992840508
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704234896 Issued in MI
Practice address
2120 W Central Ave
Toledo, OH 43606-3834
Phone
(419) 531-8558
Fax
(419) 697-7705
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.12777 OH
Certified Registered Nurse Anesthetist 367500000X 4704234896 MI Primary

Addresses

Primary practice location

2120 W Central Ave
Toledo, OH 43606-3834

Mailing address

2120 W Central Ave
Toledo, OH 43606-3834
Phone (419) 531-8558

Other identifiers 2

IdentifierTypeStateIssuer
201293750MedicaidIN
P01512400OtherINRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120625000266 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537264569 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sylvania Anesthesia Services LLCGroup PAC ID 2668624453, 6 clinicians

Practice addresses (Care Compare)

2000 Regency CT
Suite 101
Toledo, OH 43623-3075
Phone (419) 882-0003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704234896MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
West Central Surgical Center, LLC CurrentSince Apr 1, 2013 Accepting new patients
Ohio Anesthesia Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 16, 2021 Accepting new patients
West Central Surgical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2013 Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince Nov 24, 2015 Accepting new patients
Amsurg Toledo Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2012 Accepting new patients
Sylvania Anesthesia Services, L.L.C. CurrentSince Jan 13, 2013 Accepting new patients
Stephen J. Watts, MD, PLLC Past Accepting new patients

Locations

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

7757 Auburn Rd
Ste 15
Concord Township, OH 44077
Phone (440) 709-9150

5959 Monclova Rd
Maumee, OH 43537
Phone (419) 251-3740

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

7055 W Central Ave
Toledo, OH 43617

2000 Regency Ct
Toledo, OH 43623
Phone (419) 251-8027

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

4841 Monroe St
Ste 111
Toledo, OH 43623
Phone (419) 474-3949

5151 Monroe St
Ste 104
Toledo, OH 43623

2000 Regency Ct
Ste 101
Toledo, OH 43623
Phone (419) 720-7866

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1992840508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 W CENTRAL AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063834",
            "telephone_number": "419-531-8558",
            "fax_number": "419-697-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 W CENTRAL AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063834",
            "telephone_number": "419-531-8558",
            "fax_number": "419-697-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURMAN",
        "first_name": "KARA",
        "middle_name": "MICHELE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.12777",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704234896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201293750",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01512400",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.