KELLY R ELMORE (NPI# 1437420254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437420254 |
| Entity Type | Individual |
| Full Name | KELLY R ELMORE |
| Credential | CRNA |
| Practice Address |
234 Goodman St Cincinnati OH 45219-2364 |
| Mailing Address |
Po Box 636256 Central Credentialing Cincinnati OH 45263-6256 |
| Practice Telephone | 5135584194 |
| Practice Fax Number | 5135580995 |
| Mailing Telephone | 5135855502 |
| Mailing Fax Number | 5135855502 |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2017-05-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | COA.13079-NA | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0064264 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699187021 | Kelly Elmore | Case Manager/Care Coordinator | 757 N 5th St, Laramie, WY 82072-2603 | 2014-05-20 |
| 1942274964 | Kelly Oberia Elmore | Obstetrics & Gynecology | 200 Mercy Circle Drive, Naval Hospital Camp Pendleton Obgyn Dept Box 555191, Camp Pendleton, CA 92055 | 2006-02-15 |
| 1780823658 | Kelly Elmore | Speech-Language Pathologist | 1485 International Pkwy, Suite 2051, Heathrow, FL 32746-5303 | 2009-02-17 |
| Street Address |
234 GOODMAN ST |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45219-2364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891798187 | Jody Brennan | Advanced Practice Midwife | 234 Goodman St, Cincinnati, OH 45219-2364 | 2005-05-31 |
| 1639770035 | Maria Hilton | Registered Nurse | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-11-03 |
| 1508467192 | Haley Lippmeier | Registered Nurse | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-11-02 |
| 1831799543 | Madison Erin Hubbard | Registered Nurse | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-10-30 |
| 1780283739 | David S Lin | Nurse Anesthetist, Certified Registered | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-10-21 |
| 1417564675 | Sarah Henkes | Social Worker | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-09-30 |
| 1245846229 | Isabel Lynn Renner | Social Worker | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-09-16 |
| 1720606650 | Maura Di Nicola | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-07-07 |
| 1215553912 | Brendan R Wilson | Physician Assistant | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-06-19 |
| 1902427412 | Fabiane Retzner | Nurse Practitioner | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1316574346 | Quincy Alvin Banks | Student in an Organized Health Care Education/Training Program | Tch Family Medicine, 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 | 2020-03-27 |
| 1831725324 | Sara Jane Elisabeth Hubbard | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0803, Ucmc Dental Center, Cincinnati, OH 45219 | 2020-03-17 |
| 1528609815 | Yuliya Azirbayeva | Pharmacist | 3 West Corry St, Cincinnati, OH 45219 | 2019-10-08 |
| 1851955769 | Julie Grace Van Baardwijk | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2019-04-25 |
| 1164982773 | Zein Mouaffaq Saad Eddin | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Department of Surgery, Cincinnati, OH 45219 | 2019-03-20 |
| 1386103273 | Ismaeel Siddiqi | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0781- Internal Medicine, Cincinatti, OH 45219 | 2019-03-19 |
| 1285123612 | Anna Vaughan | Counselor | 2828 Vernon Place, Cincinnati, OH 45219 | 2018-05-01 |
| 1043707565 | Chizara Nwade | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2018-04-19 |
| 1922503226 | Kristen Sparagna | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Ml 665x, Cincinnati, OH 45219 | 2018-03-28 |
| Find all providers in zip 45219 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376181966 | Mac Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 188 Compton Rd, Cincinnati, OH 45215-5154 | 2019-12-14 |
| 1427590751 | Stefanie Domanico | Nurse Anesthetist, Certified Registered | 2544 Spindlehill Dr, Apt 5, Cincinnati, OH 45230 | 2016-11-17 |
| 1841462066 | Ohio Valley Anesthesia LLC | Nurse Anesthetist, Certified Registered | 2841 Boudinot Ave # 38l, Cincinnati, OH 45238-2496 | 2008-03-27 |
| 1588835250 | Independent Anesthesiologists, Psc | Nurse Anesthetist, Certified Registered | 8044 Montgomery Rd Ste 155, Cincinnati, OH 45236-2916 | 2008-03-20 |
| 1679798789 | Kimberly Kaye Clark Bauer | Nurse Anesthetist, Certified Registered | 3333 Burnet Ave # Mlc2001, Cincinnati, OH 45229-3026 | 2007-04-16 |
| 1487628400 | Dana Stevenson | Nurse Anesthetist, Certified Registered | 3075 Victoria Ave, Cincinnati, OH 45208-1505 | 2006-02-15 |
| 1063402931 | Mary A Coon | Nurse Anesthetist, Certified Registered | 2000 Jospeh E. Sanker Boulevard, The Urology Center, Cincinnati, OH 45212 | 2005-10-24 |
| 1417955360 | Hannah J Phero | Nurse Anesthetist, Certified Registered | 2000 Joseph E. Sanker Boulevard, The Urology Center, Cincinnati, OH 45212 | 2005-07-13 |
| 1780283739 | David S Lin | Nurse Anesthetist, Certified Registered | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-10-21 |
| 1629675129 | Apollo Medical Group of Wellington LLC | Nurse Anesthetist, Certified Registered | 4355 Ferguson Dr Ste 190, Cincinnati, OH 45245-5137 | 2020-10-07 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45219 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.