Provider Demographics
NPI:1922031442
Name:NORTH AMERICAN PARTNERS IN ANESTHESIA (VIRGINIA), LLC
Entity Type:Organization
Organization Name:NORTH AMERICAN PARTNERS IN ANESTHESIA (VIRGINIA), LLC
Other - Org Name:FAIR OAKS ANESTHESIA ASSOCIATES LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PROVIDER ENROLLMENT SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:DENEA
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-247-4124
Mailing Address - Street 1:1305 WALT WHITMAN RD STE 300
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-4300
Mailing Address - Country:US
Mailing Address - Phone:516-945-3000
Mailing Address - Fax:
Practice Address - Street 1:3600 JOSEPH SIEWICK DR
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-1709
Practice Address - Country:US
Practice Address - Phone:703-391-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA145768100OtherDEPT. OF LABOR
VA139180OtherANTHEM BLUE CROSS
VA144075OtherANTHEM
VA144077OtherANTHEM
VA9554335Medicaid
VAK142OtherCARE FIRST DC
VA183998OtherBLUE CROSS OF TN
VA532655OtherAETNA HMO
VACD4093OtherRAILROAD MEDICARE
VA1016812OtherWEST VA WORKMANS COMP.
VA139698OtherANTHEM BLUE CROSS
VA296222OtherANTHEM BLUE CROSS
VA139230OtherANTHEM BLUE CROSS
VA228769OtherMAMSI UNITED HEALTH CARE
VA8560960OtherAETNA PPO
VA139230OtherANTHEM BLUE CROSS
VAC09281Medicare PIN
VA9554335Medicaid