NPIMap

Organization Active NPI

Holy Cross Anesthesiology Associate PA

  • Anesthesiology Physician
  • Chevy Chase, MD
National Provider Identifier
1194548586
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
HOLY CROSS ANESTHESIOLOGY ASSOCIATE PA
Practice address
8401 Connecticut Ave
Chevy Chase, MD 20815-5803
Phone
(301) 304-6600
NPI assigned
Nov 4, 2024
Organization subpart
Yes
Parent organization
HOLY CROSS ANESTHESIOLOGY ASSOCIATE PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Sara Depew
Title
President
Phone
(347) 731-2133

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

8401 Connecticut Ave
Chevy Chase, MD 20815-5803

Mailing address

PO Box 64605
Baltimore, MD 21264-4605

National Provider Directory

National Provider Directory
Tax ID family
Holy Cross Anesthesiolo18 organizations share this tax ID, including this one
Part of
Holy Cross Anesthesiolo

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1194548586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64605",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 CONNECTICUT AVE",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208155803",
            "telephone_number": "301-304-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY CROSS ANESTHESIOLOGY ASSOCIATE PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLY CROSS ANESTHESIOLOGY ASSOCIATE PA",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "DEPEW",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-731-2133"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.