Healthcare Provider Details

I. General information

NPI: 1801156344
Provider Name (Legal Business Name): ANESTHESIA ASSOCIATES OF ATHENS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2012
Last Update Date: 05/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 HOSPTIAL DRIVE
ATHENS OH
45701
US

IV. Provider business mailing address

3951 PALISADES DR
WEIRTON WV
26062-4326
US

V. Phone/Fax

Practice location:
  • Phone: 740-593-5551
  • Fax:
Mailing address:
  • Phone: 540-204-7035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number StateOH

VIII. Authorized Official

Name: DR. ANN MARIE HARMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 540-204-7035