Provider Demographics
NPI:1821076779
Name:ANESTHESIOLOGY SERVICES NETWORK LTD
Entity Type:Organization
Organization Name:ANESTHESIOLOGY SERVICES NETWORK LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:KREITZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-208-4380
Mailing Address - Street 1:1 WYOMING ST.
Mailing Address - Street 2:ANESTHESIA DEPT
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45409
Mailing Address - Country:US
Mailing Address - Phone:937-208-4380
Mailing Address - Fax:937-208-3843
Practice Address - Street 1:1 WYOMING ST.
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45409
Practice Address - Country:US
Practice Address - Phone:937-208-4380
Practice Address - Fax:937-208-3843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-01
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0262031Medicaid
OH9286091Medicare PIN