Provider Demographics
NPI:1952377798
Name:CONSOLIDATED ANESTHESIOLOGISTS INC
Entity Type:Organization
Organization Name:CONSOLIDATED ANESTHESIOLOGISTS INC
Other - Org Name:ANESTHESIA ASSOCIATES OF NORTHWEST DAYTON INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:937-297-6072
Mailing Address - Street 1:PO BOX 640446
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45264-0446
Mailing Address - Country:US
Mailing Address - Phone:937-297-6072
Mailing Address - Fax:937-293-0969
Practice Address - Street 1:2222 PHILADELPHIA DRIVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45406-1891
Practice Address - Country:US
Practice Address - Phone:937-278-2612
Practice Address - Fax:937-567-4163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Not Answered367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2047823Medicaid
OH2160398Medicaid
OH000000023642OtherANTHEM
OHCN5424OtherRAILROAD MEDICARE
OH000000023642OtherANTHEM
OH2047823Medicaid
OH2160398Medicaid
OH=========01OtherWORKERS COMP
OHCN5424OtherRAILROAD MEDICARE
OH2047823Medicaid