MEDICARE: VW ANESTHESIA, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency	RN147379	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	43007320	OTHER	OH	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000249722	OTHER	OH	ANTHEM BC/BS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538173844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VW ANESTHESIA, INC.

Provider Business Mailing Address
First Line	:	140 FOX RD
Second Line	:	SUITE 207
City	:	VAN WERT
State	:	OH
Zip	:	45891-2475
Country	:	US
Telephone Number	:	419-232-2866
Fax Number	:	419-232-2867

Provider Business Practice Location Address
First Line	:	140 FOX RD
Second Line	:	SUITE 207
City	:	VAN WERT
State	:	OH
Zip	:	45891-2475
Country	:	US
Telephone Number	:	419-232-2866
Fax Number	:	419-232-2867

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DUANE L FUERST
Credential	:	CRNA
Telephone Number	:	419-232-2866

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	08/22/2020

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Directions to “VW ANESTHESIA, INC. ” Practice Location

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