Provider Demographics
NPI:1518195296
Name:ZINDER ANESTHESIA, LLC
Entity Type:Organization
Organization Name:ZINDER ANESTHESIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:ZINDER
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:410-580-0004
Mailing Address - Street 1:406 KINGS COLLEGE DR
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-1831
Mailing Address - Country:US
Mailing Address - Phone:410-580-0004
Mailing Address - Fax:410-580-0000
Practice Address - Street 1:3 GREENWOOD PL
Practice Address - Street 2:SUITE 300
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208
Practice Address - Country:US
Practice Address - Phone:410-580-0004
Practice Address - Fax:410-580-0000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-01
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD172698OtherMEDICARE PTAN