Organization
ANESTHESIA ASSOCIATES OF LIMA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W MOON MD (CO-PRESIDENT)
(419) 222-0328
Entity
Organization
Contact information
Practice address
1001 BELLEFONTAINE AVENUE, LIMA, OH 45804-2895
(419) 228-3335
Mailing address
PO BOX 71-0776, COLUMBUS, OH 43271-0776
(419) 228-1506
(419) 228-3352
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000169117
ANTHEM
OH
05
—
2151979
—
OH
05
—
2152343
—
OH
05
—
2152389
—
OH
01
—
CH3533
RAILROAD MEDICARE
OH
Enumeration date
08/04/2006
Last updated
09/11/2025
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