Organization
PREMIER ANESTHESIA OF OHIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY WALKER (VP & CONTROLLER)
(678) 690-7812
Entity
Organization
Contact information
Practice address
5300 N MEADOWS DR, GROVE CITY, OH 43123-2546
(614) 663-5000
Mailing address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(678) 690-7812
(404) 751-5259
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
01/03/2014
Last updated
09/04/2025
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