Organization
BUCKEYE ANESTHESIA SERVICES & CONSULTANTS LLC
Active
Organization
BUCKEYE ANESTHESIA SERVICES & CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A WANGLER MD (PRESIDENT)
(419) 224-7586
Entity
Organization
Contact information
Practice address
801 MEDICAL DR, SUITE A, LIMA, OH 45804-4099
(419) 224-7586
(419) 224-9769
Mailing address
PO BOX 714813, COLUMBUS, OH 43271-4813
(937) 293-0247
(937) 293-0969
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000318057
ANTHEM
OH
01
—
125460100
FEDERAL WORKERS COMP ACS
—
05
—
2460457
—
OH
01
—
DB0764
RAILROAD MEDICARE
OH
Enumeration date
06/09/2006
Last updated
01/04/2022
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