Organization
ANESTHESIA & CRITICAL CARE CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ROBERT TAYLOR (OFFICE MANAGER)
(844) 836-4500
Entity
Organization
Contact information
Practice address
5901 MONCLOVA RD, MAUMEE, OH 43537-1855
(419) 897-5405
Mailing address
PO BOX 200, EAST LIVERPOOL, OH 43920-5200
(844) 836-4500
(412) 429-4244
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2279734
—
OH
01
—
CJ5516
RAILROAD MEDICARE
—
Enumeration date
05/09/2006
Last updated
02/10/2020
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