1801885231 NPI number — WESTCHESTER ANESTHESIA LLC

Table of content: (NPI 1801885231)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801885231 NPI number — WESTCHESTER ANESTHESIA LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WESTCHESTER ANESTHESIA LLC
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:
1801885231
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/18/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1510
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GERMANTOWN
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20875-1510
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-515-4222
Provider Business Mailing Address Fax Number:
301-515-4153

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
226 WESTCHESTER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WHITE PLAINS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-515-4222
Provider Business Practice Location Address Fax Number:
301-515-4153
Provider Enumeration Date:
10/18/2005

Additional Information

Authorized Official

Authorized Official Last Name:
ANDERSON
Authorized Official First Name:
LEWIE
Authorized Official Middle Name:
G
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
301-515-4222

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207LP2900X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: W3W6610 . This is a "MCARE GRP ID" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com