1427075910 NPI number — DOCTORS ANESTHESIA SERVICE OF COLUMBUS

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 1427075910 NPI number — DOCTORS ANESTHESIA SERVICE OF COLUMBUS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DOCTORS ANESTHESIA SERVICE OF COLUMBUS
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:
1427075910
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
DEPT L 2312
Provider Second Line Business Mailing Address:
DOCTORS ANESTHESIA SERVICES
Provider Business Mailing Address City Name:
COLUMBUS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43260-2312
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-270-2955
Provider Business Mailing Address Fax Number:
440-247-4331

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6520 WEST CAMPUS OVAL
Provider Second Line Business Practice Location Address:
CENTRAL OHIO SURGICAL INSTITUTE
Provider Business Practice Location Address City Name:
NEW ALBANY
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43054
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-413-2233
Provider Business Practice Location Address Fax Number:
614-413-2234
Provider Enumeration Date:
07/17/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HELGREEN
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
NE
Authorized Official Title or Position:
COMPANY OFFICER
Authorized Official Telephone Number:
440-247-0965

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0722007 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".