Provider Demographics
NPI:1144235615
Name:ALBANY ANESTHESIA ASSOCIATES,PC
Entity Type:Organization
Organization Name:ALBANY ANESTHESIA ASSOCIATES,PC
Other - Org Name:ALBANY ANESTHESIA ASSOCIATES,PC/AAA CONSORTIUM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:229-439-9400
Mailing Address - Street 1:406 W 1ST AVE
Mailing Address - Street 2:PO BOX 1227
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31701-2202
Mailing Address - Country:US
Mailing Address - Phone:229-439-9400
Mailing Address - Fax:229-436-3718
Practice Address - Street 1:406 W 1ST AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-2202
Practice Address - Country:US
Practice Address - Phone:229-439-9400
Practice Address - Fax:229-436-3718
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHOEBE PHYSICIAN GROUP, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-30
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GACM8845OtherGROUP MEDICARE RAILROAD #
GA300020528AMedicaid
GA300020528AMedicaid