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Contact Information

ANESTHESIA GROUP PRACTICE, INC
10500 MONTGOMERY RD
MONTGOMERY, OH45242-4402
 Phone: 513-817-1150
 Fax: 513-351-0316
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for ANESTHESIA GROUP PRACTICE INC · (Female)

NPI Number 1417951948
Status Active
Credentials
Entity Individual
Enumeration date 06/13/2005
Last updated 10/16/2025 - About 8 months ago
Sole proprietor 1 Not specified
Identifiers
  • IN Medicaid 100009200
  • KY Medicaid 65942781
  • KY Medicaid 7100392750
  • KY Medicaid 7100393520
  • KY Medicaid 74900911
  • OH Medicaid 4127751
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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