Active NPI
Anthony Graham, CRNA
- Certified Registered Nurse Anesthetist
- Glen Burnie, MD
National Provider Identifier
1013913672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R091703
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 454MI732 | Other | MD | TRAILBLAZER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| R091703 | MD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New 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 | Past | 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.
-
- Anesthesiology Physician
- Rockville, MD
- NPI 1932015013
-
- Specialist
- Frederick, MD
- NPI 1598106239
-
- Anesthesiology Physician
- Bel Air, MD
- NPI 1013312412
-
- Anesthesiology Physician
- Randallstown, MD
- NPI 1003992868
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Prince Frederick, MD
- NPI 1093707879
-
- Certified Registered Nurse Anesthetist
- Lutherville, MD
- NPI 1124089610
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Forest, VA
- NPI 1609833474
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Forest, VA
- NPI 1215957816
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.