Active NPI
Northeast Ohio Anesthesia, LLC.
- Specialist
- Beachwood, OH
National Provider Identifier
1992758023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- NORTHEAST OHIO ANESTHESIA, LLC.
- Practice address
- 3755 Orange PL
Beachwood, OH 44122-4426 - Phone
- (330) 602-0767
- NPI assigned
- May 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles V Barrett, D.O.
- Title
- Vice President
- Phone
- (330) 602-0767
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
3755 Orange PL
Beachwood, OH 44122-4426
Mailing address
659 Boulevard St
Dover, OH 44622-2026
Phone (330) 602-0767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2306338 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
3755 Orange Pl
Ste 103
Beachwood, OH 44122
Phone (216) 593-0030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310947200000",
"number": "1992758023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "659 BOULEVARD ST",
"city": "DOVER",
"state": "OH",
"postal_code": "446222026",
"telephone_number": "330-602-0767",
"fax_number": "330-365-3831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3755 ORANGE PL",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441224426",
"telephone_number": "330-602-0767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST OHIO ANESTHESIA, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2011-07-18",
"status": "A",
"authorized_official_last_name": "BARRETT",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "330-602-0767",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2306338",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beachwood, OH
- North East Ohio Health Services
- North East Ohio Health Services
- North Eastern Ohio Podiatry Group LLC
- Northcoast HCM LTD.
- Northcoast Psychology LLC
- Northeast Ohio Center for Dental Sleep Medicine LLC
- Northeast Ohio Eye Surgeons Inc
- Northeast Ohio Surgery Center
- Northern Ohio Eye Consultants, Inc. (Cleveland Eye Clinic)
- Northern Ohio Medical Specialists, LLC (NOMS Healthcare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.