1316945173 NPI number — ANESTHESIA ASSOCIATES OF CINCINNATI, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316945173 NPI number — ANESTHESIA ASSOCIATES OF CINCINNATI, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANESTHESIA ASSOCIATES OF CINCINNATI, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316945173
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
265 BROOKVIEW CENTRE WAY STE 400
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KNOXVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37919-4052
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
865-293-5328
Provider Business Mailing Address Fax Number:
865-985-7079

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2139 AUBURN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45219-2906
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-585-0577
Provider Business Practice Location Address Fax Number:
513-585-3291
Provider Enumeration Date:
07/14/2005

Additional Information

Authorized Official

Authorized Official Last Name:
MESROBIAN
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
414-962-4350

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 367500000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2711891 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0338156 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2672059 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6592911 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2326512 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2705335 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100001430 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".




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