KEVIN MIGUEL O'HARA
NPI 1407627631
Nurse Anesthetist, Certified Registered in Fort Wayne, IN

Q: What is the provider's specialty?

The provider's specialty is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since January 16, 2024

6435 W JEFFERSON BLVD # 434, FORT WAYNE, IN 46804(260) 436-7875(260) 432-9812 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Secondary Locations
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Nurse Anesthetist, Certified Registered

About KEVIN O'HARA

This page provides the complete NPI Profile along with additional information for Kevin O'hara, a provider established in Fort Wayne, Indiana with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1407627631 assigned on January 2024. The practitioner's primary taxonomy code is 367500000X with license number 28259076A (IN). The provider is registered as an individual and his NPI record was last updated May 2026.

NPI: 1407627631 Verify this NPI
Provider Name: KEVIN MIGUEL O'HARA
Gender: Male
Entity Type: Individual
Location Address: 6435 W JEFFERSON BLVD # 434 FORT WAYNE, IN 46804
Location Phone: (260) 436-7875
Location Fax: (260) 432-9812
Mailing Address: PO BOX 843603 DALLAS, TX 75284
Mailing Phone: (972) 233-1999
Mailing Fax: (972) 233-3666
Is Sole Proprietor?: No
Enumeration Date: 01-16-2024
Last Update Date: 05-21-2026
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Location Map

Secondary Locations

6 Hairpin Dr
Edwardsville, IL 62026
(317) 378-2836

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Nurse Anesthetist, Certified Registered
Taxonomy Code: 367500000X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: 28259076A
License State: IN
Taxonomy Description: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.