Healthcare Provider Details

I. General information

NPI: 1376536490
Provider Name (Legal Business Name): QUEEN CITY ANESTHESIOLOGISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2446 KIPLING AVE
CINCINNATI OH
45239-6650
US

IV. Provider business mailing address

200 NORTHLAND BLVD
CINCINNATI OH
45246-3604
US

V. Phone/Fax

Practice location:
  • Phone: 513-672-3300
  • Fax: 513-672-3323
Mailing address:
  • Phone: 513-672-3300
  • Fax: 513-672-3323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: WILLIAM P BECKMEYER
Title or Position: PRESIDENT
Credential: MD
Phone: 513-672-4111