Organization
OHIO VALLEY ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE STACY MEGOIS MD (MEDICAL DIRECTOR)
(859) 341-7246
Entity
Organization
Contact information
Practice address
3131 QUEEN CITY AVE, OHIO VALLEY ANESTHESIA LLC, CINCINNATI, OH 45238-2316
(859) 341-7246
(859) 341-7867
Mailing address
PO BOX 70-1618, CINCINNATI, OH 45270-1618
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2361831
—
OH
05
—
2361868
—
OH
01
—
65936775
PHYSICIANS MEDICAID
KY
01
—
74900416
CRNAS MEDICAID
KY
Enumeration date
11/08/2005
Last updated
04/20/2008
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