NPIMap

Organization Active NPI

Anesthesiology Services Network LTD

  • Anesthesiology Physician
  • Dayton, OH
National Provider Identifier
1821076779
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ANESTHESIOLOGY SERVICES NETWORK LTD
Practice address
1 Wyoming St.
Dayton, OH 45409
Phone
(937) 208-4380
Fax
(937) 208-3843
NPI assigned
Jan 1, 2006
Last updated
Jan 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Jamie L. Kreitzer
Title
Chief Executive Officer
Phone
(937) 208-4380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

1 Wyoming St.
Dayton, OH 45409

Mailing address

1 Wyoming St.
Anesthesia Dept
Dayton, OH 45409
Phone (937) 208-4380

Other identifiers 1

IdentifierTypeStateIssuer
0262031MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031114000467 OH Part B Supplier - Clinic/Group Practice 8820902794 Receives reassigned benefits from 284 practitioners
Practice locations: Tipp City, OH; Middletown, OH; Troy, OH; Englewood, OH; Centerville, OH; Dayton, OH

National Provider Directory

National Provider Directory
Tax ID family
Anesthesiology Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

30 E Apple St
Ste 5250
Dayton, OH 45409
Phone (937) 208-4904

3103 Executive Pkwy
Ste 404
Toledo, OH 43606

Practitioners & affiliated clinicians

Practitioners 367

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 367

NPI Registry JSON

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

{
    "created_epoch": "1136073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1821076779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WYOMING ST.",
            "address_2": "ANESTHESIA DEPT",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45409",
            "telephone_number": "937-208-4380",
            "fax_number": "937-208-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WYOMING ST.",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45409",
            "telephone_number": "937-208-4380",
            "fax_number": "937-208-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIOLOGY SERVICES NETWORK LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-01",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "KREITZER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "937-208-4380"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0262031",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.