Coshocton Anesthesia Professionals LTD

Organization Active NPI Anesthesiology Physician · Coshocton, OH

NPI 1770128795 · NPPES record last updated Nov 13, 2019

Key facts

NPI
1770128795
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
Legal business name
COSHOCTON ANESTHESIA PROFESSIONALS LTD
Practice address
1460 Orange St
Coshocton, OH 43812-2229
Phone
(913) 599-9336
NPI assigned
Nov 13, 2019
Organization subpart
No

Authorized official

Name
Kristen Birch
Title
Provider Enrollment Specialists
Phone
(913) 599-9336

Practitioners 18

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20191231002278 OH Part B Supplier - Clinic/Group Practice 2264866169 Receives reassigned benefits from 19 practitioners
Practice locations: Coshocton, OH; East Liverpool, OH

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
207L00000X Yes
Certified Registered Nurse Anesthetist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
367500000X

Addresses

Primary practice location

1460 Orange St
Coshocton, OH 43812-2229

Mailing address

5761 Pintail CT
Westerville, OH 43082-9045
Phone (913) 599-9336

Other providers in Coshocton, OH

All providers in Coshocton, OH · Anesthesiology Physician in Ohio

Sources for this page

Verify at the official NPI Registry.