Pickaway Anesthesia Services, Inc.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

COA.03636-NA Issued in OH

Legal business name

PICKAWAY ANESTHESIA SERVICES, INC.

Practice address

1235 South Court St
Circleville, OH 43113

Phone

(740) 642-5366

Fax

(614) 451-7097

NPI assigned

Sep 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Terry L Brown, CRNA

Title

President

Phone

(740) 642-5366

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1033214168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9651 DRY RON RD",
            "city": "KINGSTON",
            "state": "OH",
            "postal_code": "45644",
            "telephone_number": "740-642-5366",
            "fax_number": "614-451-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 SOUTH COURT ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "43113",
            "telephone_number": "740-642-5366",
            "fax_number": "614-451-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKAWAY ANESTHESIA SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-642-5366",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "NA3636",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "COA.03636-NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0827323",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Peters, CNP
• David Michael Peters
• Jocelyn Michelle Peters, PA
• Andrea Phouthavong
• Susan Diane Picciano, CNP
• Pickaway Area Recovery Services
• Pickaway Area Recovery Services
• Pickaway County Auditor
• Pickaway County Board of MRDD
• Pickaway County Commission on Aging

• Certified Registered Nurse Anesthetist in Circleville, OH
• Providers in Circleville, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.