Provider Demographics
NPI:1598737918
Name:ANESTHESIOLOGIST CARE, P.C.
Entity Type:Organization
Organization Name:ANESTHESIOLOGIST CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:MATHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-828-8307
Mailing Address - Street 1:490 FLATS RD
Mailing Address - Street 2:ANESTHESIOLOGIST CARE, P.C.
Mailing Address - City:ATHENS
Mailing Address - State:NY
Mailing Address - Zip Code:12015-4808
Mailing Address - Country:US
Mailing Address - Phone:518-945-2607
Mailing Address - Fax:518-828-8528
Practice Address - Street 1:71 PROSPECT AVE
Practice Address - Street 2:ANESTHESIOLOGIST CARE, P.C.
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-2907
Practice Address - Country:US
Practice Address - Phone:518-828-8307
Practice Address - Fax:518-828-8528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
W2L881Medicare ID - Type Unspecified
NY01818868Medicare ID - Type Unspecified