Northeast Indiana Anesthesiology, PC

Organization Active NPI Anesthesiology Physician · Columbia City, IN

NPI 1619917366 · NPPES record last updated Jun 18, 2008

Key facts

NPI
1619917366
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
Legal business name
NORTHEAST INDIANA ANESTHESIOLOGY, PC
Practice address
353 N Oak St
Columbia City, IN 46725-1623
Phone
(260) 248-9304
NPI assigned
Jun 8, 2006
Organization subpart
No

Authorized official

Name
Mrs. Karyn Kovach
Title
Director of Billing
Phone
(419) 531-8808

Practitioners 32

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

View all 32

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207L00000X Yes

Addresses

Primary practice location

353 N Oak St
Columbia City, IN 46725-1623

Mailing address

2914 S Republic Blvd
Toledo, OH 43615-1912
Phone (419) 531-8808

Other identifiers

IdentifierTypeStateIssuer
CJ6762OtherINRAILROAD MEDICARE
200366600AMedicaidIN
200366600BMedicaidIN
200366600CMedicaidIN

Other providers in Columbia City, IN

All providers in Columbia City, IN · Anesthesiology Physician in Indiana

Sources for this page

Verify at the official NPI Registry.