Basic Information
Provider Information
NPI: 1427075910
EntityType: 2
ReplacementNPI:  
OrganizationName: DOCTORS ANESTHESIA SERVICE OF COLUMBUS
LastName:  
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Mailing Information
Address1: DEPT L 2312
Address2: DOCTORS ANESTHESIA SERVICES
City: COLUMBUS
State: OH
PostalCode: 432602312
CountryCode: US
TelephoneNumber: 8002702955
FaxNumber: 4402474331
Practice Location
Address1: 6520 WEST CAMPUS OVAL
Address2: CENTRAL OHIO SURGICAL INSTITUTE
City: NEW ALBANY
State: OH
PostalCode: 43054
CountryCode: US
TelephoneNumber: 6144132233
FaxNumber: 6144132234
Other Information
ProviderEnumerationDate: 07/17/2006
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: HELGREEN
AuthorizedOfficialFirstName: JAMES
AuthorizedOfficialMiddleName: NE
AuthorizedOfficialTitleorPosition: COMPANY OFFICER
AuthorizedOfficialTelephone: 4402470965
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix: JR.
AuthorizedOfficialCredential: DO
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansAnesthesiology 

ID Information
IDTypeStateIssuerDescription
072200705OH MEDICAID


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