Provider Demographics
NPI:1740371517
Name:MARION ANESTHESIA, INC.
Entity type:Organization
Organization Name:MARION ANESTHESIA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHADHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-375-0901
Mailing Address - Street 1:1199 DELAWARE AVE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-6475
Mailing Address - Country:US
Mailing Address - Phone:740-375-0901
Mailing Address - Fax:740-375-0040
Practice Address - Street 1:1199 DELAWARE AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-6475
Practice Address - Country:US
Practice Address - Phone:740-375-0901
Practice Address - Fax:740-375-0040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty