| Organization Name: | ANESTHESIOLOGISTS D.O. INC. |
| NPI Number: | 1043633993 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARISA L SECHRIST (CREDENTIALING SPECIALIST) |
| Mailing Address: | 1011 Boardman Canfield Rd Boardman |
| State: | OH US |
| Postal Code: | 445124226 |
| Phone Number: | 3306292888 |
| Fax Number: | 3306298940 |
| NPI Enumeration Date: | 01/29/2014 |
| NPI Last Update Date: | 01/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2200X |
| License Number: | 09915-NS |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |