Provider Type Icon

JAMES KEITH RANDOLPH CRNA NPI 1922092485


NPI Information

NPI: 1922092485
Provider Name: JAMES KEITH RANDOLPH, CRNA
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Individual
Organization: NORTHSTAR ANESTHESIA OF OHIO LLC Address:
3404 W SYLVANIA AVE
TOLEDO, OH
ZIP 43623
Phone: (419) 251-1206
Get Directions

James Keith Randolph, CRNA is a nurse anesthetist certified registered in Toledo, OH with 20 years of experience. The provider is (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. James Keith Randolph, CRNA NPI is 1922092485. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3404 W SYLVANIA AVE
TOLEDO, OH
ZIP 43623-467
Phone: (419) 251-1206

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Anesthesia for procedure on gastrointestinal tract using an endoscope (HCPCS:00740)
  • Anesthesia for procedure on lower intestine using an endoscope (HCPCS:00810)

The enumeration date for this NPI number is 9/9/2005 and was last updated on 12/12/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367500000XNurse Anesthetist, Certified Registered4704229515MICHIGANNo
2367500000XNurse Anesthetist, Certified RegisteredNA08155OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12541379MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.