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Holy Cross Anesthesiology Associate PA

Organization Active NPI Anesthesiology Physician · Burtonsville, MD

NPI 1376501007 · NPPES record last updated Nov 27, 2024

Key facts

NPI
1376501007
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
Legal business name
HOLY CROSS ANESTHESIOLOGY ASSOCIATE PA
Practice address
4000 Blackburn LN Ste 220
Burtonsville, MD 20866-1104
Phone
(301) 770-8700
NPI assigned
May 3, 2006
Organization subpart
No

Authorized official

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Subparts reporting this organization as parent 17

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Corporate family (same tax ID) 17

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

Practitioners 87

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 87

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in DC, MD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040322001776 DC Part B Supplier - Clinic/Group Practice 3577454313 Receives reassigned benefits from 84 practitioners
Practice locations: Rockville, MD; Sliver Springs, MD; Silver Spring, MD; Rokville, MD; Rockhill, MD; Lanham, MD; Germantown, MD; Chevy Chase, MD…
O20230117002743 MD Part B Supplier - Clinic/Group Practice 3577454313 Receives reassigned benefits from 42 practitioners
1 other NPI on this enrollment
Practice locations: Annapolis, MD; Columbia, MD; Frederick, MD; Fulton, MD; Gaithersburg, MD

National Provider Directory

Tax ID family
Holy Cross Anesthesiolo (18 organizations share this tax ID)

Locations

4818 Del Ray Ave
Bethesda, MD 20814
Phone (301) 657-8200

4000 Blackburn Ln
Burtonsville, MD 20866
Phone (301) 421-4241

4000 Blackburn Ln
Ste 220
Burtonsville, MD 20866
Phone (262) 888-8186

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207L00000X Yes

Addresses

Primary practice location

4000 Blackburn LN Ste 220
Burtonsville, MD 20866-1104

Mailing address

PO Box 64605
Baltimore, MD 21264
Phone (301) 933-8554

Other providers in Burtonsville, MD

All providers in Burtonsville, MD · Anesthesiology Physician in Maryland

Sources for this page

Verify at the official NPI Registry.