Provider Demographics
NPI:1215930425
Name:ANESTHESIOLOGY ASSOCIATES OF AKRON, INC.
Entity type:Organization
Organization Name:ANESTHESIOLOGY ASSOCIATES OF AKRON, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:FASSNACHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-344-6401
Mailing Address - Street 1:224 W EXCHANGE ST
Mailing Address - Street 2:STE 220
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44302-1726
Mailing Address - Country:US
Mailing Address - Phone:330-344-7040
Mailing Address - Fax:330-344-1714
Practice Address - Street 1:224 W EXCHANGE ST
Practice Address - Street 2:STE 220
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44302-1726
Practice Address - Country:US
Practice Address - Phone:330-344-7040
Practice Address - Fax:330-344-1714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0280040Medicaid
OH8000141Medicare PIN
OH9910452Medicare PIN