NPIMap

Organization Active NPI

Grant Anesthesia Services LTD

  • Anesthesiology Physician
  • Columbus, OH
National Provider Identifier
1366431132
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GRANT ANESTHESIA SERVICES LTD
Practice address
111 S Grant Ave
3Rd FL
Columbus, OH 43215-4701
Phone
(614) 566-8808
NPI assigned
Oct 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Authorized official

Name
Mr. Mark Wuestewald
Title
Rev Cycle Director
Phone
(614) 566-5107

Specialties & licenses 1

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

Addresses

Primary practice location

111 S Grant Ave
3Rd FL
Columbus, OH 43215-4701

Mailing address

5350 Frantz Rd
Dublin, OH 43016-4259
Phone (614) 544-6355

Other identifiers 4

IdentifierTypeStateIssuer
2503644MedicaidOH
2503704MedicaidOH
2503759MedicaidOH
2503919MedicaidOH

National Provider Directory

National Provider Directory

Locations

Dept L2736
Columbus, OH 43260

5100 W Broad St
Fl 1
Columbus, OH 43228
Phone (614) 566-9983

Dept L 2736
Columbus, OH 43260

Practitioners & affiliated clinicians

Practitioners 136

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

View all 136

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1366431132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 FRANTZ RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430164259",
            "telephone_number": "614-544-6355",
            "fax_number": "614-544-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GRANT AVE",
            "address_2": "3RD FL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154701",
            "telephone_number": "614-566-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT ANESTHESIA SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "WUESTEWALD",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "REV CYCLE DIRECTOR",
        "authorized_official_telephone_number": "614-566-5107",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "2503644",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2503704",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2503759",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2503919",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.