Active NPI
Millenium Anesthesia LLC
- Certified Registered Nurse Anesthetist
- Cincinnati, OH
National Provider Identifier
1679730394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- MILLENIUM ANESTHESIA LLC
- Practice address
- 311 Straight Street
Cincinnati, OH 45219 - Phone
- (859) 341-7246
- Fax
- (859) 341-7867
- NPI assigned
- May 20, 2008
- Organization subpart
- Yes
- Parent organization
- MILLENIUM ANESTHESIA LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas P Sobolewski, MD
- Title
- President
- Phone
- (859) 341-7246
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
311 Straight Street
Cincinnati, OH 45219
Mailing address
20 Medical Village Drive
#258
Edgewood, KY 41017-5411
Phone (859) 341-7246
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200332470A | Medicaid | IN | |
| 74900374 | Medicaid | KY | |
| 2277683 | Medicaid | OH |
Other names 1
- CRNA Group
National Provider Directory
National Provider Directory- Part of
- Millenium Anesthesia LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1659350494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211241600000",
"number": "1679730394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 MEDICAL VILLAGE DRIVE",
"address_2": "#258",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410175411",
"telephone_number": "859-341-7246",
"fax_number": "859-341-7867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 STRAIGHT STREET",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45219",
"telephone_number": "859-341-7246",
"fax_number": "859-341-7867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLENIUM ANESTHESIA LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MILLENIUM ANESTHESIA LLC",
"enumeration_date": "2008-05-20",
"last_updated": "2008-05-20",
"status": "A",
"authorized_official_last_name": "SOBOLEWSKI",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "859-341-7246",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200332470A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74900374",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2277683",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CRNA Group",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.