Provider Demographics
NPI:1629058946
Name:AYLOR, JAMES R (CRNA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:R
Last Name:AYLOR
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:PO BOX 634036
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-4036
Mailing Address - Country:US
Mailing Address - Phone:800-554-2695
Mailing Address - Fax:614-583-3300
Practice Address - Street 1:110 N POPLAR ST
Practice Address - Street 2:MCCULLOUGH HYDE MEMORIAL HOSP DEPT OF ANESTHESIOLOGY
Practice Address - City:OXFORD
Practice Address - State:OH
Practice Address - Zip Code:45056-1204
Practice Address - Country:US
Practice Address - Phone:513-524-5440
Practice Address - Fax:513-524-5559
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00161812367500000X
TX529701367500000X
OHRN.322626367500000X
OHCOA.08664-NA367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2669394Medicaid
OHAY8237411Medicare PIN