Provider Demographics
NPI:1720099153
Name:HOOSIER ANESTHESIA ASSOCIATES PC
Entity Type:Organization
Organization Name:HOOSIER ANESTHESIA ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:UEHLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-265-8404
Mailing Address - Street 1:PO BOX 643179
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45264-3179
Mailing Address - Country:US
Mailing Address - Phone:937-293-0247
Mailing Address - Fax:
Practice Address - Street 1:600 WILSON CREEK ROAD
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:IN
Practice Address - Zip Code:47025-2751
Practice Address - Country:US
Practice Address - Phone:812-537-1010
Practice Address - Fax:812-926-3209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000029690OtherANTHEM
OH0623678Medicaid
IN100093800Medicaid
INCB3153OtherRAILROAD MEDICARE
IN171350Medicare PIN