NPI 1750320693 · live from the CMS NPI Registry
Anesthesia Associates Of Wooster
Anesthesiology in Wooster, OH. National Provider Identifier 1750320693, active.
NPI record
| NPI | 1750320693 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 1761 Beall Ave, Wooster, OH 44691 |
| Practice phone | 330-263-8100 |
| Mailing address | 255 W Michigan Ave, Jackson, MI 49201 |
| Enumerated | June 6, 2006 |
| Last updated | December 19, 2007 |
| Authorized official | Eric Dehorta, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Anesthetist, Certified Registered | 367500000X | — |
| Anesthesiology primary | 207L00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.