NPIMap

Organization Active NPI

Associated Anesthesiologists of Springfield

  • Pain Medicine (Anesthesiology) Physician
  • Springfield, OH
National Provider Identifier
1770675936
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
35054847 Issued in OH
Legal business name
ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD
Practice address
1117 E Home Rd
Springfield, OH 45503-2725
Phone
(937) 342-1619
Fax
(937) 390-7148
NPI assigned
Sep 28, 2006
Last updated
Mar 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Kamel Abraham, MDNPI 1891887048
Title
President
Phone
(937) 298-5333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 35054847 OH Primary

Addresses

Primary practice location

1117 E Home Rd
Springfield, OH 45503-2725

Mailing address

PO Box 3000
Springfield, OH 45501-3000
Phone (937) 342-1619

Other identifiers 1

IdentifierTypeStateIssuer
2059776MedicaidOH

National Provider Directory

National Provider Directory

Locations

3066 Kettering Blvd
Moraine, OH 45439

2215 Olympic St
Springfield, OH 45503
Phone (937) 324-4420

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1770675936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3000",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455013000",
            "telephone_number": "937-342-1619",
            "fax_number": "937-390-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 E HOME RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032725",
            "telephone_number": "937-342-1619",
            "fax_number": "937-390-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED ANESTHESIOLOGISTS OF SPRINGFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "KAMEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-298-5333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35054847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2059776",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.