NPIMap

Organization Active NPI

Professional Anesthesia Service Inc

  • Anesthesiology Physician
  • Akron, OH
National Provider Identifier
1770547408
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PROFESSIONAL ANESTHESIA SERVICE INC
Practice address
190 N Union St
Ste 104
Akron, OH 44304-1369
Phone
(330) 253-9145
Fax
(330) 253-6222
NPI assigned
Apr 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Authorized official

Name
Ms. Edwina I Kearney
Title
Business Administrator
Phone
(330) 253-9145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

190 N Union St
Ste 104
Akron, OH 44304-1369

Mailing address

190 N Union St
Ste 104
Akron, OH 44304-1369
Phone (330) 253-9145

Other identifiers 3

IdentifierTypeStateIssuer
7091249MedicaidOH
2080224OtherOHUNITED HEALTHCARE GRP #
CN1092OtherOHRAILROAD MEDICARE GRP #

National Provider Directory

National Provider Directory

Locations

190 N Union St
Ste 104
Akron, OH 44304
Phone (330) 253-9145

Practitioners & affiliated clinicians

Practitioners 57

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

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1770547408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 N UNION ST",
            "address_2": "STE 104",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041369",
            "telephone_number": "330-253-9145",
            "fax_number": "330-253-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N UNION ST",
            "address_2": "STE 104",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041369",
            "telephone_number": "330-253-9145",
            "fax_number": "330-253-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ANESTHESIA SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "KEARNEY",
        "authorized_official_first_name": "EDWINA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "330-253-9145",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7091249",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE GRP #",
            "identifier": "2080224",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GRP #",
            "identifier": "CN1092",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.