Provider Demographics
NPI:1669580858
Name:ANESTHESIA CARE, INC.
Entity type:Organization
Organization Name:ANESTHESIA CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:E
Authorized Official - Last Name:BAZIOTIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-726-7300
Mailing Address - Street 1:200 MAIN ST
Mailing Address - Street 2:SUITE 350
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-4119
Mailing Address - Country:US
Mailing Address - Phone:401-726-7300
Mailing Address - Fax:401-726-7330
Practice Address - Street 1:111 BREWSTER ST
Practice Address - Street 2:DEPARTMENT OF ANESTHESIA
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-4400
Practice Address - Country:US
Practice Address - Phone:401-726-7300
Practice Address - Fax:401-726-7330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-28
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIBLUECHIPOther203964
RI9002614Medicaid
RI20-002172OtherTRICARE
MA9786589Medicaid
RIBLUECHIPOther203964