Provider Demographics
NPI:1730170762
Name:TREON, CHRISTOPHER (CRNA)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:TREON
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E 20TH ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41014-1583
Mailing Address - Country:US
Mailing Address - Phone:859-655-7160
Mailing Address - Fax:859-655-6742
Practice Address - Street 1:7380 TURFWAY RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1355
Practice Address - Country:US
Practice Address - Phone:859-212-5200
Practice Address - Fax:859-212-5130
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28167897A163W00000X
IN054909367500000X
KY115268163W00000X
KY5418A367500000X
OH054909367500000X
OH265285163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000699460OtherANTHEM PROVIDER NUMBER
12770756OtherPHCS
OH2426691Medicaid
KY7100028270Medicaid
IN200833750Medicaid
KY7100028270Medicaid
INM400038372Medicare PIN
OHTR8231901Medicare PIN
KY7100028270Medicaid
12770756OtherPHCS