MEDICARE: ANESTHESIA SPECIALTY SERVICES INC.

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
1	207LP2900X	Pain Medicine (Anesthesiology) Physician
2	207L00000X	Anesthesiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750328555
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANESTHESIA SPECIALTY SERVICES INC.

Provider Business Mailing Address
First Line	:	15345 BAGLEY RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44130-4825
Country	:	US
Telephone Number	:	440-743-8400
Fax Number	:	440-743-8401

Provider Business Practice Location Address
First Line	:	15345 BAGLEY RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44130-4825
Country	:	US
Telephone Number	:	440-743-8400
Fax Number	:	440-743-8401

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAMES PUJOLAS
Credential	:	MD
Telephone Number	:	440-743-8400

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	07/29/2008

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Directions to “ANESTHESIA SPECIALTY SERVICES INC. ” Practice Location

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