Healthcare Provider Details

I. General information

NPI: 1114822475
Provider Name (Legal Business Name): ANESTHESIA PROVIDERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4930 BRADENTON AVE
DUBLIN OH
43017-7502
US

IV. Provider business mailing address

4930 BRADENTON AVE
DUBLIN OH
43017-7502
US

V. Phone/Fax

Practice location:
  • Phone: 614-336-9007
  • Fax: 614-398-3711
Mailing address:
  • Phone: 614-336-9007
  • Fax: 614-398-3711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BRIAN K DORNER
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 614-336-9000