Organization
UNITED ANESTHESIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY R MATHENY (TREASURER)
(304) 422-3904
Entity
Organization
Contact information
Practice address
601 AVERY ST STE 501, PARKERSBURG, WV 26101-5192
(304) 422-3904
(304) 422-3924
Mailing address
601 AVERY ST STE 501, PARKERSBURG, WV 26101-5192
(304) 588-8683
(304) 422-3924
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
—
0011424000
—
WV
05
—
0651156
—
OH
Enumeration date
03/20/2006
Last updated
11/02/2021
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