Active NPI
Mahoning Anesthesia Consultants, LLC
- Pain Medicine (Anesthesiology) Physician
- Youngstown, OH
National Provider Identifier
1215118658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 34-006401
- Legal business name
- MAHONING ANESTHESIA CONSULTANTS, LLC
- Practice address
- 7067 Tiffany Blvd
Suite 230
Youngstown, OH 44514-1993 - Phone
- (330) 758-2748
- Fax
- (330) 758-3282
- NPI assigned
- Nov 14, 2007
- Last updated
- Dec 20, 2007
- 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
- Mrs. Jennifer Ernst
- Title
- Practice Manager
- Phone
- (330) 758-2748
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 34-006401 | OH | Primary |
Addresses
Primary practice location
7067 Tiffany Blvd
Suite 230
Youngstown, OH 44514-1993
Mailing address
PO Box 33
Lowellville, OH 44436-0033
Phone (330) 758-2748
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0306574 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Cleveland, OH
- NPI 1851609614
-
- Physician Assistant
- Akron, OH
- NPI 1275795064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198108800000",
"number": "1215118658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33",
"city": "LOWELLVILLE",
"state": "OH",
"postal_code": "444360033",
"telephone_number": "330-758-2748",
"fax_number": "330-758-3282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7067 TIFFANY BLVD",
"address_2": "SUITE 230",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445141993",
"telephone_number": "330-758-2748",
"fax_number": "330-758-3282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAHONING ANESTHESIA CONSULTANTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-14",
"last_updated": "2007-12-20",
"status": "A",
"authorized_official_last_name": "ERNST",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "330-758-2748",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "OH",
"license": "34-006401",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0306574",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
- Seleana Mahdee
- Kyle Maher
- Celia Jeanne Mahone, LPN
- Latasha K Mahone
- Roslyn Mahone, BS
- Mahoning Avenue Dental Health Center Michael Crites DDS Inc (Jamboree Dental)
- Mahoning County Community Corrections Association, Inc.
- Mahoning County Community Corrections Association, Inc. (Community Corrections Association, Inc.)
- Mahoning County Educational Service Center
- Mahoning Lab Solutions, LLC. (Any Lab Test Now - Youngstown)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.