Provider Demographics
NPI:1336126150
Name:BETHESDA ANESTHESIA ASSOC LLC
Entity Type:Organization
Organization Name:BETHESDA ANESTHESIA ASSOC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:G
Authorized Official - Last Name:SCHUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-355-6700
Mailing Address - Street 1:PO BOX 79416
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21279-0416
Mailing Address - Country:US
Mailing Address - Phone:240-355-6200
Mailing Address - Fax:301-320-0374
Practice Address - Street 1:5110 RIDGEFIELD RD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20816-3346
Practice Address - Country:US
Practice Address - Phone:640-355-6700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty