Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gregory R. Mountain, APRN-CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1457856635

Gregory R. Mountain, APRN-CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Columbus, Ohio. Qualified in 2015, 11 years ago. Practices with Osu Observation Medicine, LLC, a 419-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
11
Licensed in
OH
In the registry since
2018
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Practice location Address checks out

5100 W Broad St
Columbus, OH 43228-1672
Phone: (614) 544-2507
Fax: (614) 544-2384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 410 W 10th Ave, Columbus, OH 43210-1240 — (614) 293-8487

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN.CNP.019701 (OH)

Record details

NPI number1457856635
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-CRNA
Sole proprietorNo
NPI enumeratedMarch 28, 2018
Last updated in NPPESFebruary 21, 2022
Certification dateFebruary 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Osu Observation Medicine, Llc — 419 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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