Provider Demographics
NPI:1326325929
Name:ANESTHESIA STAFFING CONSULTANTS OF OHIO, LLC
Entity Type:Organization
Organization Name:ANESTHESIA STAFFING CONSULTANTS OF OHIO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTORO
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:248-258-5058
Mailing Address - Street 1:30200 TELEGRAPH RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:BINGHAM FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-4502
Mailing Address - Country:US
Mailing Address - Phone:248-258-5058
Mailing Address - Fax:248-927-5058
Practice Address - Street 1:145 BAKER ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-4111
Practice Address - Country:US
Practice Address - Phone:248-258-2058
Practice Address - Fax:248-927-5058
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANESTHESIA STAFFING CONSULTANTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-11-10
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty