Provider Demographics
NPI:1932152568
Name:COLUMBIANA ANESTHESIA CONSULTANTS,INC
Entity type:Organization
Organization Name:COLUMBIANA ANESTHESIA CONSULTANTS,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:BERNY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-387-3000
Mailing Address - Street 1:PO BOX 200
Mailing Address - Street 2:
Mailing Address - City:EAST LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920-5200
Mailing Address - Country:US
Mailing Address - Phone:304-387-3000
Mailing Address - Fax:304-387-5215
Practice Address - Street 1:425 W 5TH ST
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-2405
Practice Address - Country:US
Practice Address - Phone:330-385-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2193317Medicaid
250410OtherHEALTH AMERICA
WV001708345OtherMOUNTAIN STATE BLUE SHIEL
WV0201124000Medicaid
7936169OtherAETNA
CH3742OtherRAILROAD MEDICARE
250410OtherHEALTH ASSURANCE
CH3742OtherRAILROAD MEDICARE
OH2193317Medicaid
WV0201124000Medicaid
WV001708345OtherMOUNTAIN STATE BLUE SHIEL