Organization Active NPI

Crawford County Anesthesiology Inc

  • Anesthesiology Physician
  • Shelby, OH
National Provider Identifier
1205937729
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CRAWFORD COUNTY ANESTHESIOLOGY INC
Practice address
20 Morris Rd
Shelby, OH 44875-1152
Phone
(614) 235-2326
Fax
(614) 235-5194
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Authorized official

Name
Michael Rahe
Title
Billing Agent
Phone
(614) 235-2326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

20 Morris Rd
Shelby, OH 44875-1152

Mailing address

PO Box 13149
Columbus, OH 43213-0149
Phone (614) 235-2326

Other identifiers 1

IdentifierTypeStateIssuer
2217327MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1205937729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13149",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432130149",
            "telephone_number": "614-235-2326",
            "fax_number": "614-235-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MORRIS RD",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448751152",
            "telephone_number": "614-235-2326",
            "fax_number": "614-235-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD COUNTY ANESTHESIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "RAHE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "614-235-2326"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2217327",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.