Organization
MIDWEST PHYSICIAN ANESTHESIA SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EILEEN M KROTINE (PRACTICE MANAGER)
(614) 457-2306
Entity
Organization
Contact information
Practice address
5151 REED ROAD, SUITE 225-C, COLUMBUS, OH 43220-2595
(614) 884-0641
(614) 884-0776
Mailing address
5151 REED ROAD, SUITE 225-C, COLUMBUS, OH 43220-2595
(614) 884-0641
(614) 884-0776
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
OH
367500000X
Certified Registered Nurse Anesthetist
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0889203
—
OH
01
—
C10498
RAILROAD MEDICARE
OH
01
—
CI0498
RAILROAD MEDICARE
OH
Enumeration date
06/04/2006
Last updated
06/19/2015
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