Provider Demographics
NPI:1275590036
Name:CHESAPEAKE ANESTHESIOLOGY AND PAIN MANAGEMENT PHYSICIANS LLC
Entity Type:Organization
Organization Name:CHESAPEAKE ANESTHESIOLOGY AND PAIN MANAGEMENT PHYSICIANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:E
Authorized Official - Last Name:CALLAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-810-5450
Mailing Address - Street 1:PO BOX 120
Mailing Address - Street 2:
Mailing Address - City:CHESTERTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21620-0120
Mailing Address - Country:US
Mailing Address - Phone:410-810-5449
Mailing Address - Fax:410-810-5198
Practice Address - Street 1:100 BROWN ST
Practice Address - Street 2:
Practice Address - City:CHESTERTOWN
Practice Address - State:MD
Practice Address - Zip Code:21620-1435
Practice Address - Country:US
Practice Address - Phone:410-810-5450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDCB3931OtherRR MEDICARE
KH19CHOtherBCBS MD
MD633401602Medicaid
MDF232OtherBCBS DC NCA
MD872LMedicare ID - Type Unspecified