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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

NPI Number 1417951948
LBN Legal business name ANESTHESIA GROUP PRACTICE, INC
Authorized official MARK GROSSMAN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/13/2005
Last updated 10/16/2025 - About 8 months ago
Identifiers
IN Medicaid 100009200
KY Medicaid 65942781
KY Medicaid 7100392750
KY Medicaid 7100393520
KY Medicaid 74900911
OH Medicaid 4127751
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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