Provider Demographics
NPI:1700841137
Name:WINCHESTER ANESTHESIOLOGISTS INC
Entity Type:Organization
Organization Name:WINCHESTER ANESTHESIOLOGISTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DELAGATED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:ORANTESMARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-662-8336
Mailing Address - Street 1:PO BOX 3297
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22604-2495
Mailing Address - Country:US
Mailing Address - Phone:540-662-8336
Mailing Address - Fax:540-662-8593
Practice Address - Street 1:878 FOX DR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22603-8613
Practice Address - Country:US
Practice Address - Phone:540-662-8336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2134174OtherMAMSI
PA0396881000OtherIBC PROVIDER ID
1017991OtherBRICKSTREET WORKERS COMP
KY221163OtherSOUTHERN HEALTH
FL148860700OtherUS DEPT OF LABOR
WV0008206000Medicaid
VA051519OtherANTHEM BS
VA105462OtherOPTIMAHEALTH GROUP NUMBER
148860700OtherFEDERAL BLACK LUNG
2134174OtherMAMSI
WV0008206000Medicaid