NPIMap

Organization Active NPI

Optimum Anesthesia

  • Anesthesiology Physician
  • Poland, OH
National Provider Identifier
1851656854
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
OPTIMUM ANESTHESIA
Practice address
1031 W Western Reserve Rd
Poland, OH 44514-3541
Phone
(330) 965-0900
Fax
(330) 965-9250
NPI assigned
Jul 6, 2012
Last updated
Feb 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Authorized official

Name
Christopher T. Thompson, CRNANPI 1831110295
Title
President
Phone
(330) 519-7372

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary
Certified Registered Nurse Anesthetist 367500000X

Addresses

Primary practice location

1031 W Western Reserve Rd
Poland, OH 44514-3541

Mailing address

4135 Boardman Canfield Rd
Suite 101
Canfield, OH 44406-9803
Phone (330) 286-5330

Other practice location 1

8135 Market St
Youngstown, OH 44512-6244
Phone (330) 758-0900

Other practice location 2

1995 E State St
Salem, OH 44460-2423
Phone (330) 332-7670

Other practice location 3

4319 Executive Cir NW
Canton, OH 44718-2999
Phone (330) 526-0530

Other identifiers 4

IdentifierTypeStateIssuer
002753982OtherPAHIGHMARK BCBS
0069771MedicaidOH
H119520OtherOHMEDICARE PTAN
249341OtherPAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120830000216 OH Part B Supplier - Clinic/Group Practice 9638326432 Receives reassigned benefits from 56 practitioners
Practice locations: Canton, OH; Columbiana, OH; Poland, OH; Salem, OH; Youngstown, OH
O20250425001493 SC Part B Supplier - Clinic/Group Practice 9638326432 Receives reassigned benefits from 21 practitioners
Practice locations: Rock Hill, SC; Charleston, SC; Okatie, SC

National Provider Directory

National Provider Directory

Locations

34501 Aurora Rd
Ste 306
Solon, OH 44139
Phone (440) 498-0972

3893 E Market St
Ste 2
Warren, OH 44484
Phone (330) 856-1272

1117 Lowry Ave
Lowr
Jeannette, PA 15644
Phone (724) 527-2885

Practitioners & affiliated clinicians

Practitioners 83

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 83

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1851656854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 BOARDMAN CANFIELD RD",
            "address_2": "SUITE 101",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069803",
            "telephone_number": "330-286-5330",
            "fax_number": "330-286-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 W WESTERN RESERVE RD",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143541",
            "telephone_number": "330-965-0900",
            "fax_number": "330-965-9250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8135 Market St",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445126244",
            "country_code": "US",
            "telephone_number": "330-758-0900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1995 E State St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OH",
            "postal_code": "444602423",
            "country_code": "US",
            "telephone_number": "330-332-7670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4319 Executive Cir NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447182999",
            "country_code": "US",
            "telephone_number": "330-526-0530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTIMUM ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-06",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-519-7372",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "002753982",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0069771",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H119520",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "249341",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.