Healthcare Provider Details

I. General information

NPI: 1225159056
Provider Name (Legal Business Name): ANESTHESIOLOGY SERVICES NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 09/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 MIAMI VALLEY DR SUITE 2000
CENTERVILLE OH
45459-4774
US

IV. Provider business mailing address

1 WYOMING ST 3RD FLR SURGICAL SERVICES
DAYTON OH
45409-2722
US

V. Phone/Fax

Practice location:
  • Phone: 937-208-4380
  • Fax: 937-208-3843
Mailing address:
  • Phone: 937-208-4380
  • Fax: 937-208-3843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMIE KREITZER
Title or Position: CEO
Credential:
Phone: 937-208-4380