Anesthesiologists D.O. Inc.

Organization Active NPI Adult Health Clinical Nurse Specialist · Boardman, OH

NPI 1043633993 · NPPES record last updated Jan 29, 2014

Key facts

NPI
1043633993
Entity type
Organization (NPI type 2)
Primary specialty
Adult Health Clinical Nurse Specialist 364SA2200X
License
09915-NS (OH)
Legal business name
ANESTHESIOLOGISTS D.O. INC.
Practice address
1011 Boardman Canfield Rd
Boardman, OH 44512-4226
Phone
(330) 629-2888
Fax
(330) 629-8940
NPI assigned
Jan 29, 2014
Organization subpart
No

Authorized official

Name
Carisa L Sechrist, AAS
Title
Credentialing Specialist
Phone
(330) 629-2888

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Anesthesiologists DO Inc (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist
Group: 193200000X MULTI-SPECIALTY GROUP
364SA2200X 09915-NS OH Yes

Addresses

Primary practice location

1011 Boardman Canfield Rd
Boardman, OH 44512-4226

Mailing address

1011 Boardman Canfield Rd
Boardman, OH 44512-4226
Phone (330) 629-2888

Other identifiers

IdentifierTypeStateIssuer
0063017MedicaidOH

Other names

  • Doctors Pain Clinic Doing business as

Other providers in Boardman, OH

All providers in Boardman, OH · Adult Health Clinical Nurse Specialist in Ohio

Sources for this page

Verify at the official NPI Registry.