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

Matthew Park, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1336134113

Matthew Park, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Chillicothe, Ohio. Qualified in 2003, 23 years ago. Practices with Adena Medical Group LLC, a 377-clinician group. Licensed in Ohio.

Years since qualifying
23
Licensed in
OH
In the registry since
2005
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

272 Hospital Rd
Chillicothe, OH 45601-9031
Phone: (740) 779-7540
Fax: (740) 779-7867
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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 280510 (OH)

Record details

NPI number1336134113
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 16, 2005
Last updated in NPPESDecember 28, 2020
Certification dateDecember 28, 2020
Mailing address272 Hospital Rd, Suite 3, Chillicothe, OH 45601-9031

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Adena Medical Group Llc — 377 clinicians
Accepts Medicare assignment Not indicated
Practice locations7 on file with Medicare

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