Healthcare Provider Details
I. General information
NPI: 1063457513
Provider Name (Legal Business Name): PHYSICIANS ANESTHESIA SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
375 DIXMYTH AVE
CINCINNATI OH
45220
US
IV. Provider business mailing address
PO BOX 640738
CINCINNATI OH
45264-0738
US
V. Phone/Fax
- Phone: 513-872-2432
- Fax: 513-872-8857
- Phone: 800-754-9764
- Fax: 937-293-0960
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
THOMAS
SCHMIDT
Title or Position: PRESIDENT
Credential: MD
Phone: 513-872-2432