Organization
PROFESSIONAL ANESTHESIA SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EDWINA I KEARNEY (BUSINESS ADMINISTRATOR)
(330) 253-9145
Entity
Organization
Contact information
Practice address
190 N UNION ST, STE 104, AKRON, OH 44304-1369
(330) 253-9145
(330) 253-6222
Mailing address
190 N UNION ST, STE 104, AKRON, OH 44304-1369
(330) 253-9145
(330) 253-6222
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2080224
UNITED HEALTHCARE GRP #
OH
05
—
7091249
—
OH
01
—
CN1092
RAILROAD MEDICARE GRP #
OH
Enumeration date
04/12/2006
Last updated
01/06/2014
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