Organization
OPTIMUM ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER T. THOMPSON CRNA (PRESIDENT)
(330) 519-7372
Entity
Organization
Contact information
Practice address
1031 W WESTERN RESERVE RD, POLAND, OH 44514-3541
(330) 965-0900
(330) 965-9250
Mailing address
4135 BOARDMAN CANFIELD RD, SUITE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002753982
HIGHMARK BCBS
PA
05
—
0069771
—
OH
01
—
249341
MEDICARE PTAN
PA
01
—
H119520
MEDICARE PTAN
OH
Enumeration date
07/06/2012
Last updated
02/19/2024
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