MEDICARE: COLUMBIANA ANESTHESIA CONSULTANTS,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	207LP2900X	Pain Medicine (Anesthesiology) Physician
2	207L00000X	Anesthesiology Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	CH3742	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	250410	OTHER		HEALTH AMERICA
3	001708345	OTHER	WV	MOUNTAIN STATE BLUE SHIEL
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	7936169	OTHER		AETNA
7	250410	OTHER		HEALTH ASSURANCE

General Provider Information

NPI Number	:	1932152568
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLUMBIANA ANESTHESIA CONSULTANTS,INC

Provider Business Mailing Address
First Line	:	PO BOX 200
Second Line	:
City	:	EAST LIVERPOOL
State	:	OH
Zip	:	43920-5200
Country	:	US
Telephone Number	:	304-387-3000
Fax Number	:	304-387-5215

Provider Business Practice Location Address
First Line	:	425 W 5TH ST
Second Line	:
City	:	EAST LIVERPOOL
State	:	OH
Zip	:	43920-2405
Country	:	US
Telephone Number	:	330-385-7200
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAMES J BERNY
Credential	:	MD
Telephone Number	:	304-387-3000

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	12/01/2009

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Directions to “COLUMBIANA ANESTHESIA CONSULTANTS,INC ” Practice Location

Language	Start Address	Practice Location

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