Provider Demographics
NPI:1457595522
Name:MARYLAND ANESTHESIA CONSORTIUM, LLC
Entity Type:Organization
Organization Name:MARYLAND ANESTHESIA CONSORTIUM, LLC
Other - Org Name:ANESTHESIAWORKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY-TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:410-372-0563
Mailing Address - Street 1:6009 N CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-2201
Mailing Address - Country:US
Mailing Address - Phone:410-372-0563
Mailing Address - Fax:410-372-0564
Practice Address - Street 1:6009 N CHARLES ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-2201
Practice Address - Country:US
Practice Address - Phone:410-372-0563
Practice Address - Fax:410-372-0564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty