NPIMap

Organization Active NPI

Dayton Anesthesia & Pain Services, LLC

  • Anesthesiology Physician
  • Dayton, OH
National Provider Identifier
1629401898
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
DAYTON ANESTHESIA & PAIN SERVICES, LLC
Practice address
405 W Grand Ave
Dayton, OH 45405-4720
Phone
(937) 723-3200
NPI assigned
Aug 12, 2013
Last updated
Jul 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Stacey Wilson
Title
Director
Phone
(865) 985-7114

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X
Anesthesiologist Assistant 367H00000X
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

405 W Grand Ave
Dayton, OH 45405-4720

Mailing address

265 Brookview Centre Way Ste 203
Knoxville, TN 37919-4053
Phone (865) 985-7114

Other practice location 1

3780 Medina Rd Ste 120
Medina, OH 44256-9312
Phone (330) 952-0014

Other practice location 2

115 5TH St NE
Barberton, OH 44203-3332
Phone (330) 615-3000

Other practice location 3

195 Wadsworth Rd
Wadsworth, OH 44281-9537
Phone (330) 331-1000

Other practice location 4

3535 Pentagon Blvd
Beavercreek, OH 45431-1705
Phone (877) 307-4554

Other practice location 5

525 E Market St
Akron, OH 44304-1619
Phone (330) 375-3000

Other practice location 6

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000

Other practice location 7

1997 Miamisburg Centerville Rd
Dayton, OH 45459-3811
Phone (937) 401-6000

Other practice location 8

95 Arch St Ste 250
Akron, OH 44304-1496
Phone (866) 862-5871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131212001655 OH Part B Supplier - Clinic/Group Practice 8022245372 Receives reassigned benefits from 412 practitioners
Practice locations: Wadsworth, OH; Medina, OH; Hamilton, OH; Dayton, OH; Beavercreek, OH; Akron, OH; Barberton, OH

National Provider Directory

National Provider Directory

Locations

95 Arch St
Ste G55
Akron, OH 44304
Phone (330) 375-6660

3535 Pentagon Blvd
Ste G55
Beavercreek, OH 45431

Practitioners & affiliated clinicians

Practitioners 430

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.

View all 430

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1629401898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY STE 203",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194053",
            "telephone_number": "865-985-7114",
            "fax_number": "865-692-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W GRAND AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054720",
            "telephone_number": "937-723-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3780 Medina Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442569312",
            "country_code": "US",
            "telephone_number": "330-952-0014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 5TH ST NE",
            "address_purpose": "LOCATION",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442033332",
            "country_code": "US",
            "telephone_number": "330-615-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 Wadsworth Rd",
            "address_purpose": "LOCATION",
            "city": "Wadsworth",
            "state": "OH",
            "postal_code": "442819537",
            "country_code": "US",
            "telephone_number": "330-331-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 Pentagon Blvd",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454311705",
            "country_code": "US",
            "telephone_number": "877-307-4554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 E Market St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443041619",
            "country_code": "US",
            "telephone_number": "330-375-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 Eaton Ave",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450132767",
            "country_code": "US",
            "telephone_number": "513-867-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1997 Miamisburg Centerville Rd",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454593811",
            "country_code": "US",
            "telephone_number": "937-401-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "95 Arch St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443041496",
            "country_code": "US",
            "telephone_number": "866-862-5871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAYTON ANESTHESIA & PAIN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "865-985-7114"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.