NPIMap

Organization Active NPI

South Central Ohio Anesthesia LLC

  • Anesthesiology Physician
  • Logan, OH
National Provider Identifier
1700100419
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
COA.02437-NA Issued in OH
Legal business name
SOUTH CENTRAL OHIO ANESTHESIA LLC
Practice address
601 State Route 664 N
Logan, OH 43138-8541
Phone
(740) 983-0397
NPI assigned
Mar 24, 2010
Last updated
Oct 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Zach Vorst, CRNA
Title
Delegated Official
Phone
(419) 615-9373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X COA.02437-NA OH Primary

Addresses

Primary practice location

601 State Route 664 N
Logan, OH 43138-8541

Mailing address

300 Dave Cowens Dr Ste 600
Newport, KY 41071-4543
Phone (859) 655-8554

Other identifiers 1

IdentifierTypeStateIssuer
1255303160OtherOHINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100623000308 OH Part B Supplier - Clinic/Group Practice 3678604493 Receives reassigned benefits from 14 practitioners
Practice locations: Columbux, OH; Dublin, OH; Logan, OH
O20160321000459 IN Part B Supplier - Clinic/Group Practice 3678604493 Receives reassigned benefits from 14 practitioners
Practice locations: Tell City, IN

National Provider Directory

National Provider Directory
Tax ID family
South Central Ohio Anesthesia LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

601 State Route 664 N
Ste 114
Logan, OH 43138
Phone (740) 380-8090

Practitioners & affiliated clinicians

Practitioners 35

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 35

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1700100419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 DAVE COWENS DR STE 600",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410714543",
            "telephone_number": "859-655-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 STATE ROUTE 664 N",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431388541",
            "telephone_number": "740-983-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL OHIO ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "VORST",
        "authorized_official_first_name": "ZACH",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "419-615-9373",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "COA.02437-NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1255303160",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.