NPIMap

Organization Active NPI

Fulton Anesthesia Associates Inc

  • Anesthesiology Physician
  • Archbold, OH
National Provider Identifier
1609852144
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
FULTON ANESTHESIA ASSOCIATES INC
Practice address
201 Ditto St
Archbold, OH 43502
Phone
(419) 445-1451
Fax
(419) 445-0900
NPI assigned
Dec 16, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Larry G Schaefer, CRNA
Title
Vice President Fulton Anesthesia
Phone
(419) 445-1451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

201 Ditto St
Archbold, OH 43502

Mailing address

PO Box 427
Archbold, OH 43502
Phone (419) 445-1451

National Provider Directory

National Provider Directory

Locations

201 Ditto St
Archbold, OH 43502
Phone (419) 445-1451

Practitioners & affiliated clinicians

Practitioners 3

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": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609852144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "ARCHBOLD",
            "state": "OH",
            "postal_code": "43502",
            "telephone_number": "419-445-1451",
            "fax_number": "419-445-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DITTO ST",
            "city": "ARCHBOLD",
            "state": "OH",
            "postal_code": "43502",
            "telephone_number": "419-445-1451",
            "fax_number": "419-445-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON ANESTHESIA ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VICE PRESIDENT FULTON ANESTHESIA",
        "authorized_official_telephone_number": "419-445-1451",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Archbold, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.