Organization
COMPREHENSIVE CARE ANESTHESIA SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK NIKOLAIDIS DO (PRESIDENT)
(330) 837-7200
Entity
Organization
Contact information
Practice address
400 AUSTIN AVE NW, MASSILLON, OH 44646-3554
(330) 837-7200
(330) 837-7572
Mailing address
PO BOX 74994, CLEVELAND, OH 44194-1077
(614) 430-5724
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2468048
—
OH
01
—
DB1218
MEDICARE RAILROAD
—
Enumeration date
05/18/2006
Last updated
11/15/2007
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