DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WEST BROAD ANESTHESIA, INC.

MEDICARE: WEST BROAD ANESTHESIA, 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
1207L00000XAnesthesiology Physician
2367500000XCertified Registered Nurse Anesthetist
3174400000XSpecialist34005581BOH

Other Identifiers

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

General Provider Information

NPI Number : 1821097361
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST BROAD ANESTHESIA, INC.
Provider Business Mailing Address
First Line : PO BOX 715184
Second Line :
City : COLUMBUS
State : OH
Zip : 43271-5184
Country : US
Telephone Number : 614-354-4354
Fax Number : 937-293-0960
Provider Business Practice Location Address
First Line : 5100 W. BROAD STREET
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-1607
Country : US
Telephone Number : 614-354-4354
Fax Number : 614-853-2699
Authorized Official
Title or Position : PRESIDENT
Name : DR. MATTHEW R BROWN
Credential : D.O.
Telephone Number : 614-354-4354
Provider Enumeration Date : 07/18/2005
Last Update Date : 04/23/2025

Similar Medicare Providers

1255280020 — NOAH JAMES GRAHAM
Practice Location Address:
5100 W BROAD ST
COLUMBUS, OH
43228-1607
Practice Phone: 614-544-1000
Practice Fax:
1174064604 — MARK ALBERT LORENZINI
Practice Location Address:
5100 W BROAD ST
COLUMBUS, OH
43228-1607
Practice Phone: 614-544-2780
Practice Fax:
1588648091 — DR. RUTH L. ANKER D.O.
Practice Location Address:
5100 W BROAD ST
COLUMBUS, OH
43228-1607
Practice Phone: 614-297-4000
Practice Fax:
1093799561 — PATHOLOGY SERVICES, INC.
Practice Location Address:
5100 W BROAD ST
COLUMBUS, OH
43228-1607
Practice Phone: 614-297-4000
Practice Fax:
1578547055 — SURGICAL PATHOLOGY SERVICES, INC
Practice Location Address:
5100 W BROAD ST
COLUMBUS, OH
43228-1607
Practice Phone: 614-297-4000
Practice Fax:
1194701037 — DR. ROBERT A LOWE M.D.
Practice Location Address:
5100 W BROAD ST
COLUMBUS, OH
43228-1607
Practice Phone: 614-544-1810
Practice Fax:

Directions to “WEST BROAD ANESTHESIA, INC. ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.