Provider Demographics
NPI:1831131283
Name:STRONG, DAWN DILWORTH (CRNA)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:DILWORTH
Last Name:STRONG
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:M
Other - Last Name:DILWORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:PO BOX 713749
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45271-3749
Mailing Address - Country:US
Mailing Address - Phone:614-413-2233
Mailing Address - Fax:614-413-2234
Practice Address - Street 1:6520 W CAMPUS OVAL
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-8726
Practice Address - Country:US
Practice Address - Phone:614-413-2233
Practice Address - Fax:614-413-2234
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN294209367500000X
OHCOA.08528-NA367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2635152Medicaid
MI104820121OtherMICHIGAN MEDICAID
OH8236461Medicare ID - Type UnspecifiedOHIO MEDICARE
OH8236462Medicare ID - Type UnspecifiedOHIO MEDICARE
OH8236466Medicare PIN
MI104820121OtherMICHIGAN MEDICAID