Provider Demographics
NPI:1275577157
Name:DOCTORS ANESTHESIA SERVICES OF COLUMBUS INC
Entity Type:Organization
Organization Name:DOCTORS ANESTHESIA SERVICES OF COLUMBUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:F
Authorized Official - Last Name:MAIER
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:614-413-2233
Mailing Address - Street 1:PO BOX 713749
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45271-3749
Mailing Address - Country:US
Mailing Address - Phone:614-761-1255
Mailing Address - Fax:614-761-0849
Practice Address - Street 1:6520 W CAMPUS OVAL
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-8726
Practice Address - Country:US
Practice Address - Phone:614-413-2233
Practice Address - Fax:614-413-2234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0722007Medicaid
OH9914613Medicare PIN