Healthcare Provider Details

I. General information

NPI: 1720366586
Provider Name (Legal Business Name): HIGHPOINT ANESTHESIA ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2011
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 E PALMER RD
BELLEFONTAINE OH
43311-2281
US

IV. Provider business mailing address

PO BOX 217
TREMONT CITY OH
45372-0217
US

V. Phone/Fax

Practice location:
  • Phone: 937-441-8139
  • Fax: 937-210-5351
Mailing address:
  • Phone: 706-860-2701
  • Fax: 706-860-6484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number StateOH
# 5
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number StateOH

VIII. Authorized Official

Name: DR. FERDINAND JOSEPH SANTOS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 937-441-8139