Active NPI
Tidewater Anesthesia Associates, PA
- Anesthesiology Physician
- Chestertown, MD
National Provider Identifier
1285439281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- TIDEWATER ANESTHESIA ASSOCIATES, PA
- Practice address
- 100 Brown St
Chestertown, MD 21620-1435 - Phone
- (410) 778-3300
- NPI assigned
- Feb 14, 2025
- Last updated
- Feb 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bradley Kleinert, DO
- Title
- President
- Phone
- (717) 413-4756
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | NU | Primary | |
| Certified Registered Nurse Anesthetist | 367500000X | NU |
Addresses
Primary practice location
100 Brown St
Chestertown, MD 21620-1435
Mailing address
PO Box 1208
Easton, MD 21601-8924
National Provider Directory
National Provider Directory- Tax ID family
- Tidewater Anesthesia Associates PA
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Anesthesiology Physician
- Easton, MD
- NPI 1013712017
-
- Anesthesiology Physician
- Easton, MD
- NPI 1386449379
-
- Anesthesiology Physician
- Cambridge, MD
- NPI 1629873625
-
- Anesthesiology Physician
- Easton, MD
- NPI 1750186748
-
- Anesthesiology Physician
- Easton, MD
- NPI 1780621474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739491200000",
"number": "1285439281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1208",
"city": "EASTON",
"state": "MD",
"postal_code": "216018924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BROWN ST",
"city": "CHESTERTOWN",
"state": "MD",
"postal_code": "216201435",
"telephone_number": "410-778-3300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIDEWATER ANESTHESIA ASSOCIATES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-14",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A",
"authorized_official_last_name": "KLEINERT",
"authorized_official_first_name": "BRADLEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "717-413-4756",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chestertown, MD
- The Retina Group of Washington, PLLC
- The Retina Group of Washington, PLLC
- The Retina Group of Washington, PLLC
- Ummu Irene Leila Thomas, PHARMD
- Verna Inez Thompson, RN, BC
- William D. Trainor, M.D.
- Martha Gale Tucker, LCSW-C
- Um Shore Regional Health, Inc (Um Shore Medical Center at Chestertown)
- University of Maryland Community Medical Group, Inc.
- University of Maryland Community Medical Group, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.