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
Practitioners 1
-
Tracy L Neuendorf, D.O.
National Provider Directory
- Tax ID family
- Anesthesiologists DO Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0063017 | Medicaid | OH |
Other names
- Doctors Pain Clinic
Other providers in Boardman, OH
- America'S Best Contact & Eyeglasses
- Crystal Lee Anderson
- Taneasha M Anderson
- Andrew S Matta DMD Boardman LLC
- Andrew W Mattson DDS LLC
- Angel Care Medical LLC
- Applewood Injury Care Center, Inc
- Renae Thalia Arfaras
- James Armile
- Joselyn Askew
All providers in Boardman, OH · Adult Health Clinical Nurse Specialist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.