Active NPI
Peak Anesthesia Staffing Solutions LLC
- Certified Registered Nurse Anesthetist
- Sidney, OH
National Provider Identifier
1104623917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- PEAK ANESTHESIA STAFFING SOLUTIONS LLC
- Practice address
- 1118 Fairington Dr
Sidney, OH 45365-8913 - Phone
- (937) 203-0603
- NPI assigned
- Feb 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Wayne Church, CRNA
- Title
- President
- Phone
- (614) 668-2771
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
1118 Fairington Dr
Sidney, OH 45365-8913
Mailing address
PO Box 751541
Dayton, OH 45475-1541
Phone (937) 203-0603
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740614400000",
"number": "1104623917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751541",
"city": "DAYTON",
"state": "OH",
"postal_code": "454751541",
"telephone_number": "937-203-0603",
"fax_number": "937-936-1149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 FAIRINGTON DR",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453658913",
"telephone_number": "937-203-0603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK ANESTHESIA STAFFING SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-27",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A",
"authorized_official_last_name": "CHURCH",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "614-668-2771",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sidney, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.