Provider Demographics
NPI:1609809334
Name:TUCKAHOE ANESTHESIA ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:TUCKAHOE ANESTHESIA ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:S
Authorized Official - Last Name:KIRSHNER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:804-591-2200
Mailing Address - Street 1:7640 E PARHAM RD
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4300
Mailing Address - Country:US
Mailing Address - Phone:804-591-2200
Mailing Address - Fax:804-591-2204
Practice Address - Street 1:7640 E PARHAM RD
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23294-4300
Practice Address - Country:US
Practice Address - Phone:804-591-2200
Practice Address - Fax:804-591-2204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD0102036962207L00000X
VA207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VACE1795OtherRAILROAD MEDICARE
VACE1795OtherRAILROAD MEDICARE