Organization Active NPI

Office Based Anesthesia Associates

  • Certified Registered Nurse Anesthetist
  • Cincinnati, OH
National Provider Identifier
1154571586
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
OFFICE BASED ANESTHESIA ASSOCIATES
Practice address
10475 Reading Rd
Suite 115
Cincinnati, OH 45241-2563
Phone
(513) 259-2488
Fax
(513) 259-2487
NPI assigned
Sep 23, 2008
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
Jarrell Ottie Jeffrey Jr., CRNA
Title
Managing Member of LLC
Phone
(859) 331-8326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

10475 Reading Rd
Suite 115
Cincinnati, OH 45241-2563

Mailing address

2604 Marlo Way
Lakeside Park, KY 41017-2150
Phone (859) 331-8326

Other names 1

  • OBAA, LLC Other name

National Provider Directory

National Provider Directory

Locations

10475 Reading Rd
Ste 115
Cincinnati, OH 45241
Phone (513) 259-2488

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1154571586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 MARLO WAY",
            "city": "LAKESIDE PARK",
            "state": "KY",
            "postal_code": "410172150",
            "telephone_number": "859-331-8326",
            "fax_number": "859-331-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 READING RD",
            "address_2": "SUITE 115",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412563",
            "telephone_number": "513-259-2488",
            "fax_number": "513-259-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFICE BASED ANESTHESIA ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "JEFFREY",
        "authorized_official_first_name": "JARRELL",
        "authorized_official_middle_name": "OTTIE",
        "authorized_official_title_or_position": "MANAGING MEMBER OF LLC",
        "authorized_official_telephone_number": "859-331-8326",
        "authorized_official_name_suffix": "Jr.",
        "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": [
        {
            "organization_name": "OBAA, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cincinnati, 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.