NPIMap

Organization Active NPI

Holy Cross Anesthesiology Associate PA

  • Anesthesiology Physician
  • Frederick, MD
National Provider Identifier
1629891114
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
60 Thomas Johnson Dr Ste 2
Frederick, MD 21702-4685
Phone
(240) 673-3283
NPI assigned
Nov 4, 2024
Last updated
Nov 4, 2024By the provider in NPPES
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
Certified Registered Nurse Anesthetist 367500000X NU
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

60 Thomas Johnson Dr Ste 2
Frederick, MD 21702-4685

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": "1629891114",
    "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": "60 THOMAS JOHNSON DR STE 2",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024685",
            "telephone_number": "240-673-3283"
        }
    ],
    "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": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, 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.