Healthcare Provider Details

I. General information

NPI: 1265675847
Provider Name (Legal Business Name): NORTHERN OHIO ANESTHESIA SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2009
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 HAYES AVE
SANDUSKY OH
44870-3323
US

IV. Provider business mailing address

PO BOX 2338
SANDUSKY OH
44871-2338
US

V. Phone/Fax

Practice location:
  • Phone: 440-233-8181
  • Fax: 440-233-8182
Mailing address:
  • Phone: 855-495-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberNA08464
License Number StateOH

VIII. Authorized Official

Name: JOEL TOMPKINS
Title or Position: PARTNER/CRNA
Credential: CRNA
Phone: 239-790-5582