Organization Active NPI

Medina Anesthesia Associates, Inc

  • Dental Anesthesiology
  • Medina, OH
National Provider Identifier
1831676253
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
GA.000621 Issued in OH
Legal business name
MEDINA ANESTHESIA ASSOCIATES, INC
Practice address
3443 Medina Rd Ste 105
Medina, OH 44256-5361
Phone
(330) 952-1737
NPI assigned
Jul 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Anh-Steve NguyenNPI 1033179692
Title
President
Phone
(440) 243-0736

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental AnesthesiologyGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0004X GA.000621 OH Primary

Addresses

Primary practice location

3443 Medina Rd Ste 105
Medina, OH 44256-5361

Mailing address

3443 Medina Rd Ste 105
Medina, OH 44256-5361
Phone (330) 952-1737

National Provider Directory

National Provider Directory

Locations

3443 Medina Rd
Ste 105
Medina, OH 44256
Phone (216) 387-7690

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1831676253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 MEDINA RD STE 105",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565361",
            "telephone_number": "330-952-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 MEDINA RD STE 105",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565361",
            "telephone_number": "330-952-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA ANESTHESIA ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ANH-STEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-243-0736"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "OH",
            "license": "GA.000621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.