Provider Demographics
NPI:1639865728
Name:ON DEMAND ANESTHESIA LLC
Entity Type:Organization
Organization Name:ON DEMAND ANESTHESIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HOEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-774-4266
Mailing Address - Street 1:135 LAKE ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01949-2024
Mailing Address - Country:US
Mailing Address - Phone:978-774-4266
Mailing Address - Fax:
Practice Address - Street 1:700 ATTUCKS LN UNIT 1B
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-1813
Practice Address - Country:US
Practice Address - Phone:508-775-7751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty