Individual provider Active NPI

Anthony Graham, CRNA

  • Certified Registered Nurse Anesthetist
  • Glen Burnie, MD
National Provider Identifier
1013913672
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R091703 Issued in MD
Practice address
8101 Glen Hollow Dr Apt D
Glen Burnie, MD 21061-6168
Phone
(410) 768-1385
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R091703 MD Primary

Addresses

Primary practice location

8101 Glen Hollow Dr Apt D
Glen Burnie, MD 21061-6168

Mailing address

8101 Glen Hollow Dr Apt D
Glen Burnie, MD 21061-6168
Phone (410) 768-1385

Other identifiers 1

IdentifierTypeStateIssuer
454MI732OtherMDTRAILBLAZER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R091703MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Global Anesthesia Services LLC Past Accepting new patients
Surgery Center of Central Virginia Inc. Past Accepting new patients
Capital Care Anesthesia LLC Past Accepting new patients
Digestive Disease Solutions, LLC Past Accepting new patients
North American Partners in Anesthesia Maryland LLC PastSince Jul 10, 2022 Accepting new patients
Zinder Anesthesia Associates LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Care Services, PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1013913672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 GLEN HOLLOW DR APT D",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616168",
            "telephone_number": "410-768-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 GLEN HOLLOW DR APT D",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616168",
            "telephone_number": "410-768-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R091703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAILBLAZER",
            "identifier": "454MI732",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.