NPIMap

Organization Active NPI

Clinton Anesthesia Associates Inc.

  • Specialist
  • Wilmington, OH
National Provider Identifier
1053532390
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35 051308 Issued in OH
Legal business name
CLINTON ANESTHESIA ASSOCIATES INC.
Doing business as
Clinton Anesthesia Associates Inc.
Practice address
807 W Main St
Wilmington, OH 45177-2128
Phone
(937) 382-1864
Fax
(937) 382-8917
NPI assigned
May 2, 2007
Last updated
Sep 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Dr. Connie S. Horn, M.D.NPI 1891834594
Title
President
Phone
(937) 382-1864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35 051308 OH Primary

Addresses

Primary practice location

807 W Main St
Wilmington, OH 45177-2128

Mailing address

807 W Main St
P.O. Box 868
Wilmington, OH 45177-2128
Phone (937) 382-1864

Other identifiers 1

IdentifierTypeStateIssuer
0589635MedicaidOH

Other names 1

  • Clinton Anesthesia Associates Inc. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1053532390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 W MAIN ST",
            "address_2": "P.O. BOX 868",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772128",
            "telephone_number": "937-382-1864",
            "fax_number": "937-382-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 W MAIN ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772128",
            "telephone_number": "937-382-1864",
            "fax_number": "937-382-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON ANESTHESIA ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-382-1864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35 051308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0589635",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinton Anesthesia Associates Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.