Organization Active NPI

Mahoning Anesthesia Consultants, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Youngstown, OH
National Provider Identifier
1215118658
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
34-006401 Issued in OH
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0306574MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.