Organization
OHIO SURGICAL ANESTHESIA LLC
Active
Organization
OHIO SURGICAL ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW RIBAUDO (PRESIDENT)
(404) 217-2659
Entity
Organization
Contact information
Practice address
5319 HOAG DR, ROOM 1, SHEFFIELD VILLAGE, OH 44035-1494
(855) 600-5161
(706) 650-1034
Mailing address
PO BOX 310407, DES MOINES, IA 50331-0407
(800) 394-4445
(706) 650-1034
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9382561
MEDICARE PTAN
OH
Enumeration date
05/06/2009
Last updated
10/31/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up