Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Jordan Sandusky

Individual provider Registered Nurse · NPI 1619602380

John Jordan Sandusky is a Certified Registered Nurse Anesthetist (CRNA) in Dayton, Ohio. Qualified in 2023, 3 years ago. Practices with Dayton Anesthesia and Pain Services LLC, a 223-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

9314 Buckboard Dr
Dayton, OH 45458-3796
Phone: (614) 935-7863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 144394 (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN.416152 (OH)

Record details

NPI number1619602380
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 18, 2022
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023
Mailing address9314 Buckboard Dr, Dayton, OH 45458-3796

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Dayton Anesthesia And Pain Services Llc — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dayton