Organization Active NPI

Pediatric Anesthesiology LLC

  • Pediatric Anesthesiology Physician
  • Lancaster, OH
National Provider Identifier
1285562140
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
Legal business name
PEDIATRIC ANESTHESIOLOGY LLC
Practice address
121 E 6TH Ave
Lancaster, OH 43130-2595
Phone
(740) 475-0700
NPI assigned
May 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Dr. Bernardus Terreblanche, MDNPI 1619402153
Title
Ceo & Chief Anesthesiologist
Phone
(513) 312-8652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP3000X Primary

Addresses

Primary practice location

121 E 6TH Ave
Lancaster, OH 43130-2595

Mailing address

4242 Airport Rd Ste 100
Cincinnati, OH 45226-1615
Phone (513) 312-8652

Other practice location 1

1415 Kenton Pointe Way
Maysville, KY 41056-1174
Phone (606) 934-8004

Other names 1

  • Pediatric Anesthesia & Recovery Doing business as

National Provider Directory

National Provider Directory

Locations

4242 Airport Rd
Ste 100
Cincinnati, OH 45226

121 E 6th Ave
Lancaster, OH 43130
Phone (740) 475-0700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1285562140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 AIRPORT RD STE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452261615",
            "telephone_number": "513-312-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E 6TH AVE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431302595",
            "telephone_number": "740-475-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Kenton Pointe Way",
            "address_purpose": "LOCATION",
            "city": "Maysville",
            "state": "KY",
            "postal_code": "410561174",
            "country_code": "US",
            "telephone_number": "606-934-8004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC ANESTHESIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "TERREBLANCHE",
        "authorized_official_first_name": "BERNARDUS",
        "authorized_official_title_or_position": "CEO & CHIEF ANESTHESIOLOGIST",
        "authorized_official_telephone_number": "513-312-8652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Anesthesia & Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.