Provider Demographics
NPI:1407178890
Name:ANESTHESIA CONNECTIONS-OHIO, LLC
Entity Type:Organization
Organization Name:ANESTHESIA CONNECTIONS-OHIO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:VADELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-518-6504
Mailing Address - Street 1:555 HUGUENOT TRL
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-9216
Mailing Address - Country:US
Mailing Address - Phone:804-301-4830
Mailing Address - Fax:888-831-1942
Practice Address - Street 1:5000 HIGBEE AVE NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2522
Practice Address - Country:US
Practice Address - Phone:330-493-0313
Practice Address - Fax:770-701-6718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-25
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty