Organization
ANESTHESIA ASSOCIATES OF SOUTHERN OHIO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL J. PRINCIPE M.D. (PRESIDENT)
(123) 456-7890
Entity
Organization
Contact information
Practice address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(740) 356-4000
Mailing address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000204159
BC/BS - ANTHEM HEALTH SYS
OH
05
—
2245387
—
OH
05
—
65936908
—
KY
Enumeration date
06/12/2006
Last updated
09/11/2025
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