Organization
CHILDREN'S ANESTHESIA GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS BERGMAN CFO (C.F.O.)
(937) 641-3338
Entity
Organization
Contact information
Practice address
1 CHILDREN'S PLZ, DAYTON, OH 45404
(937) 641-3350
(937) 641-6145
Mailing address
1 CHILDREN'S PLZ, DAYTON, OH 45404-1815
(937) 641-3350
(937) 641-6145
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
OH
207LP3000X
Pediatric Anesthesiology Physician
Primary
—
OH
367500000X
Certified Registered Nurse Anesthetist
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000539088
ANTHEM
OH
Enumeration date
10/09/2007
Last updated
06/19/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us