Holy Cross Anesthesiology Associate PA
Organization Active NPI Anesthesiology Physician · Germantown, MD
NPI 1104649656 · NPPES record last updated Nov 4, 2024
Key facts
- NPI
- 1104649656
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- HOLY CROSS ANESTHESIOLOGY ASSOCIATE PA
- Practice address
- 19851 Observation Dr Ste 445
Germantown, MD 20876-4160 - Phone
- (301) 754-7000
- NPI assigned
- Nov 4, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- HOLY CROSS ANESTHESIOLOGY ASSOCIATE PA
Authorized official
- Name
- Sara Depew
- Title
- President
- Phone
- (347) 731-2133
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 17
National Provider Directory
- Tax ID family
- Holy Cross Anesthesiolo
- Part of
- Holy Cross Anesthesiolo
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes | ||
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
19851 Observation Dr Ste 445
Germantown, MD 20876-4160
Mailing address
PO Box 64605
Baltimore, MD 21264-4605
Other providers in Germantown, MD
- Drew Hofbauer
- Claire Janice Holcomb
- Jazzmin Holland
- Lasonya Wynette Holmes
- Jayme W Holstein
- Holy Cross Health Center
- Holy Cross Health, Inc.
- Susan Lee Hong
- Stephen Cornwall Hopkins III III
- Horizon Physicians PC
All providers in Germantown, MD · Anesthesiology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.