Healthcare Provider Details

I. General information

NPI: 1992496780
Provider Name (Legal Business Name): JEBS ANESTHESIA CONSULTANTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2023
Last Update Date: 05/15/2023
Certification Date: 05/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3509 BRIARFIELD BLVD
MAUMEE OH
43537-9383
US

IV. Provider business mailing address

PO BOX 591
GRANGER IN
46530-0591
US

V. Phone/Fax

Practice location:
  • Phone: 419-865-3866
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BRIAN S SCHMUTZLER
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 317-697-1407