Organization
SOUTH CENTRAL OHIO ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACH VORST CRNA (DELEGATED OFFICIAL)
(419) 615-9373
Entity
Organization
Contact information
Practice address
601 STATE ROUTE 664 N, LOGAN, OH 43138-8541
(740) 983-0397
Mailing address
300 DAVE COWENS DR STE 600, NEWPORT, KY 41071-4543
(859) 655-8554
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
COA.02437-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255303160
INDIVIDUAL NPI
OH
Enumeration date
03/24/2010
Last updated
10/15/2025
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