CHAD MORTIMER CRNA
NPI 1710694336
Nurse Anesthetist, Certified Registered in Canfield, OH
NPI Status: Active since November 02, 2022
Contact Information
4135 BOARDMAN CANFIELD RD STE 101
CANFIELD, OH
ZIP 44406
Phone: (330) 286-5330
- Individual
- Male
- Nurse Anesthetist, Certified Registered
About CHAD MORTIMER
This page provides the complete NPI Profile along with additional information for Chad Mortimer, a provider established in Canfield, Ohio with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1710694336 assigned on November 2022. The practitioner's primary taxonomy code is 367500000X with license number APRN.CRNA.0021356 (OH). The provider is registered as an individual and his NPI record was last updated June 2025.
- NPI
- 1710694336
- Provider Name
- CHAD MORTIMER CRNA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4135 BOARDMAN CANFIELD RD STE 101 CANFIELD, OH 44406
- Location Phone
- (330) 286-5330
- Mailing Address
- 3670 STRAWBERRY HL ROOTSTOWN, OH 44272
- Mailing Phone
- (330) 219-9180
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-02-2022
- Last Update Date
- 06-09-2025
- Code Navigator
Location Map
Secondary Locations
- 3670 Strawberry Hl
Rootstown, OH 44272
(330) 219-9180
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- APRN.CRNA.0021356
- License State
- OH
- Taxonomy Description
- (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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163WC0200X | Nursing Service Providers | Registered Nurse | RN.416494 (OH) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 1 | 0 | 6 | 9 | 4 | 3 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 12 | 9 | 8 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 1 + 2 + 9 + 8 + 3 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1710694336 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1417295460 | MR. ROBERT DANILUK CRNA Individual | Nurse Anesthetist, Certified Registered | 4135 BOARDMAN CANFIELD RD STE 101 CANFIELD, OH 44406 (330) 286-5330 |
| 1710448717 | NICOLETTE EDEN DO Individual | Anesthesiology | 4135 BOARDMAN CANFIELD RD STE 101 CANFIELD, OH 44406 (330) 532-7215 |
| 1518499060 | KAREN HOVSEPYAN MD Individual | Anesthesiology | 4135 BOARDMAN CANFIELD RD STE 101 CANFIELD, OH 44406 (330) 286-5330 |
| 1053981134 | BRYCE THOMAS ALLEN CRNA Individual | Nurse Anesthetist, Certified Registered | 4135 BOARDMAN CANFIELD RD STE 101 CANFIELD, OH 44406 (330) 286-5330 |
| 1891525218 | AGUSTINA PINTO GONZALEZ Individual | Registered Nurse | 4135 BOARDMAN CANFIELD RD STE 101 CANFIELD, OH 44406 (571) 337-8879 |
| 1831659051 | JOHN LEE PARKER DO Individual | Anesthesiology | 4135 BOARDMAN CANFIELD RD STE 101 CANFIELD, OH 44406 (734) 276-5356 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710694336, enumerated in the NPI registry as an "individual" on November 02, 2022
The provider is located at 4135 Boardman Canfield Rd Ste 101 Canfield, Oh 44406 and the phone number is (330) 286-5330
The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
This NPI record was last updated on November 02, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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