Healthcare Provider Details

I. General information

NPI: 1821042342
Provider Name (Legal Business Name): FALLS ANESTHESIA GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 04/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 23RD ST
CUYAHOGA FALLS OH
44223-1404
US

IV. Provider business mailing address

2106 ALBERTSON PKWY
CUYAHOGA FALLS OH
44223-2502
US

V. Phone/Fax

Practice location:
  • Phone: 330-971-7000
  • Fax: 330-296-6535
Mailing address:
  • Phone: 330-971-7000
  • Fax: 330-296-6535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. MARK S SMILEK
Title or Position: PRESIDENT
Credential: DO
Phone: 330-971-0401