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NPI Code Detail

MEDICARE: NEW ALBANY ORTHOPEDIC ANESTHESIA LLC

MEDICARE: NEW ALBANY ORTHOPEDIC ANESTHESIA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1093762635
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW ALBANY ORTHOPEDIC ANESTHESIA LLC
Provider Business Mailing Address
First Line : PO BOX 4877
Second Line :
City : NEWARK
State : OH
Zip : 43058
Country : US
Telephone Number : 614-285-7844
Fax Number : 614-516-0821
Provider Business Practice Location Address
First Line : 3600 STELZER RD
Second Line : STE 100
City : COLUMBUS
State : OH
Zip : 43219-3676
Country : US
Telephone Number : 614-285-7844
Fax Number : 614-516-0821
Authorized Official
Title or Position : OWNER PHYSICIAN
Name : MARK RENO
Credential : D.O.
Telephone Number : 614-285-7844
Provider Enumeration Date : 05/28/2006
Last Update Date : 01/22/2024

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Directions to “NEW ALBANY ORTHOPEDIC ANESTHESIA LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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