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

Individual provider Certified Registered Nurse Anesthetist · NPI 1639258791

Sandra Bontatibus, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Kettering, Ohio. Qualified in 2006, 20 years ago. Practices with Sandusky Anesthesia LLC, a 123-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
20
Licensed in
OH
In the registry since
2006
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

3535 Southern Blvd
Kettering, OH 45429-1221
Phone: (513) 839-0903
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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 246893 (OH)

Record details

NPI number1639258791
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorYes
NPI enumeratedNovember 2, 2006
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Sandusky Anesthesia Llc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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