NPIMap

Ogi Anesthesia, LLC

Organization Active NPI Certified Registered Nurse Anesthetist · Cincinnati, OH

NPI 1962776807 · NPPES record last updated Feb 24, 2012

Key facts

NPI
1962776807
Entity type
Organization (NPI type 2)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
Legal business name
OGI ANESTHESIA, LLC
Practice address
2925 Vernon PL
Ste 101
Cincinnati, OH 45219-2425
Phone
(513) 751-6667
NPI assigned
Feb 23, 2012
Organization subpart
No

Authorized official

Name
Michael T. Mitchell
Title
Business Manager
Phone
(843) 651-2624

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 114

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

View all 114

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20120502000531 OH Part B Supplier - Clinic/Group Practice 8224290598 Receives reassigned benefits from 113 practitioners
Practice locations: Cincinnati, OH; Springfield, OH; Norwood, OH; Liberty Township, OH; Blue Ash, OH

National Provider Directory

Locations

11333 Cornell Park Dr
Ste 100
Blue Ash, OH 45242
Phone (513) 569-1355

2925 Vernon Pl
Ste 101
Cincinnati, OH 45219
Phone (513) 872-4541

7360 Liberty One Dr
Ste 332
Liberty Township, OH 45044

2355 Derr Rd
Springfield, OH 45503
Phone (937) 398-1966

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 367500000X Yes

Addresses

Primary practice location

2925 Vernon PL
Ste 101
Cincinnati, OH 45219-2425

Mailing address

PO Box 4860
Murrells Inlet, SC 29576-2698
Phone (843) 651-2624

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 24, 2012.

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1962776807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4860",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295762698",
            "telephone_number": "843-651-2624",
            "fax_number": "843-357-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 VERNON PL",
            "address_2": "STE 101",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192425",
            "telephone_number": "513-751-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGI ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "843-651-2624"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

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Sources for this page

Verify at the official NPI Registry.