Surgery One Anesthesia, LLC

NPI #1144724402 in Fort Wayne, Indiana

Provider Information

NPI Number: 1144724402
Entity Type: Organization
Organization Name: Surgery One Anesthesia, LLC
Primary Specialty: Anesthesiology
Enumeration Date: Mar 21, 2018
Last Updated: Mar 27, 2025

Practice Location

Address: 5050 N CLINTON ST
City: Fort Wayne
State: Indiana
ZIP Code: 46825-5886
Phone: (260) 484-8551

Authorized Official

Name: MRS. BARBARA JANICE HATHAWAY
Title: CREDENTIALING OFFICER
Phone: (260) 408-2203

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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