Provider Demographics
NPI:1629030937
Name:OBSTETRIC ANESTHESIA ASSOCIATES INC.
Entity Type:Organization
Organization Name:OBSTETRIC ANESTHESIA ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:513-861-2490
Mailing Address - Street 1:3210 JEFFERSON AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45220-2272
Mailing Address - Country:US
Mailing Address - Phone:513-861-2490
Mailing Address - Fax:513-861-0148
Practice Address - Street 1:4777 E GALBRAITH RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2725
Practice Address - Country:US
Practice Address - Phone:513-686-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-03
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0516141Medicaid
OHCI3387Medicare PIN
OH0516141Medicaid