David William Neidig, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

35.082803 Issued in OH

Practice address

667 Eastland Ave SE
Warren, OH 44484-4503

Phone

(330) 286-5330

Fax

(330) 286-5396

NPI assigned

Aug 31, 2006

Last updated

Oct 29, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bel-Park Anesthesia Associates, Inc.

  • Anesthesiology Physician
  • Youngstown, OH
  • NPI 1508813528
  Medicare reassignment NPD
• Optimum Anesthesia

  • Anesthesiology Physician
  • Poland, OH
  • NPI 1851656854
  Medicare reassignment NPD
• Anesthetix of Findlay, LLC

  • Anesthesiology Physician
  • Findlay, OH
  • NPI 1316970320
  NPD (past)
• Grady Anesthesia Services, Inc

  • Specialist
  • Delaware, OH
  • NPI 1629014436
  NPD (past)
• Healthworks, LLC

  • Specialist
  • Delaware, OH
  • NPI 1629018080
  NPD (past)
• Licking Memorial Professional Corporation

  dba Licking Memorial Anesthesiology

  • Anesthesiology Physician
  • Newark, OH
  • NPI 1376585430
  NPD (past)
• Perioperative Medical Consutants Inc

  • Anesthesiology Physician
  • Fairfield, OH
  • NPI 1124028162
  NPD (past)
• Anesthesia Care of Effingham, SC

  • Anesthesiology Physician
  • Effingham, IL
  • NPI 1528126372
  NPD (past)
• Anesthesia Care of Litchfield SC

  • Anesthesiology Physician
  • Litchfield, IL
  • NPI 1518189109
  NPD (past)
• Southern Illinois Anesthesiology LTD

  • Pain Medicine (Anesthesiology) Physician
  • Mount Vernon, IL
  • NPI 1346353661
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1912018607",
    "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": "667 EASTLAND AVE SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844503",
            "telephone_number": "330-286-5330",
            "fax_number": "330-286-5396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1044 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445041006",
            "country_code": "US",
            "telephone_number": "330-480-3658",
            "fax_number": "330-480-3439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEIDIG",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.082803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000833091",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2277727",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01253963",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11175638",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H260810",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnny Joseph Naples II, PA-C
• Anthony Joseph Nappo
• Angela Natoli, D.C.
• NBJ Outpatient Therapy LLC
• Shannon A Neff
• Neighborhood Medical Incorporated (Family Recovery)
• Danea Nelson
• Jenna K Nelson, MSW, LISW
• Kashea Nelson
• Stella Jane Nelson

• Anesthesiology Physician in Warren, OH
• Providers in Warren, OH by specialty
• Anesthesiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.