1316947971 NPI number — ANESTHESIA ASSOCIATES LTD.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316947971 NPI number — ANESTHESIA ASSOCIATES LTD.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANESTHESIA ASSOCIATES LTD.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316947971
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 9203
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALEXANDRIA
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22304-0203
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-931-2080
Provider Business Mailing Address Fax Number:
703-845-7463

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4320 SEMINARY RD
Provider Second Line Business Practice Location Address:
INOVA ALEXANDRIA HOSPITAL
Provider Business Practice Location Address City Name:
ALEXANDRIA
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22304-1535
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-931-2080
Provider Business Practice Location Address Fax Number:
703-845-7463
Provider Enumeration Date:
07/26/2005

Additional Information

Authorized Official

Authorized Official Last Name:
SPENCER
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
703-931-2080

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , with the licence number:  16767-01 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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