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NPI Code Detail

MEDICARE: ATP ANESTHESIA SERVICES LLC

MEDICARE: ATP ANESTHESIA SERVICES LLC
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
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1942169768
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATP ANESTHESIA SERVICES LLC
Provider Business Mailing Address
First Line : 13642 STATE ROUTE 676
Second Line :
City : WATERFORD
State : OH
Zip : 45786-5408
Country : US
Telephone Number : 304-615-1028
Fax Number :
Provider Business Practice Location Address
First Line : 611 2ND ST STE B
Second Line :
City : MARIETTA
State : OH
Zip : 45750-2123
Country : US
Telephone Number : 740-373-7207
Fax Number : 740-374-9087
Authorized Official
Title or Position : OWNER
Name : ANASTASIOS PANTELIDIS
Credential : MD
Telephone Number : 304-615-1028
Provider Enumeration Date : 01/17/2026
Last Update Date : 01/17/2026

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Directions to “ATP ANESTHESIA SERVICES LLC ” Practice Location

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