Healthcare Provider Details

I. General information

NPI: 1891976643
Provider Name (Legal Business Name): OUTPATIENT ANESTHESIA SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2007
Last Update Date: 07/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 JOSEPH E. SANKER BOULEVARD THE UROLOGY CENTER
CINCINNATI OH
45212
US

IV. Provider business mailing address

P. O. BOX 807 OUTPATIENT ANESTHESIA SPECIALISTS
MASON OH
45040
US

V. Phone/Fax

Practice location:
  • Phone: 513-841-7600
  • Fax: 513-841-7601
Mailing address:
  • Phone: 513-204-5696
  • Fax: 877-284-4283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JEFFREY S. PHILIP
Title or Position: PRESIDENT
Credential: M.D.
Phone: 513-204-5696