Organization
WEST BROAD ANESTHESIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW R BROWN D.O. (PRESIDENT)
(614) 354-4354
Entity
Organization
Contact information
Practice address
5100 W. BROAD STREET, COLUMBUS, OH 43228-1607
(614) 354-4354
(614) 853-2699
Mailing address
PO BOX 715184, COLUMBUS, OH 43271-5184
(614) 354-4354
(937) 293-0960
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34005581B
OH
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0424062
—
OH
Enumeration date
07/18/2005
Last updated
04/23/2025
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