=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801823182
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ANESTHESIA ASSOCIATES, PLL
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/26/2006
-----------------------------------------------------
Last Update Date | 07/12/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7757 AUBURN RD SUITE 15
-----------------------------------------------------
City | PAINESVILLE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44077-9609
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-350-0832
-----------------------------------------------------
Fax | 440-354-7420
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 77033
-----------------------------------------------------
City | CLEVELAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44194-7033
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-350-0832
-----------------------------------------------------
Fax | 440-354-7420
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SENIOR MANAGING PARTNER
-----------------------------------------------------
Name | DR. JAMES F DONOHUE
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 440-350-0832
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------