Individual provider Active NPI

Donald Wayne Anderson Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Baltimore, MD
National Provider Identifier
1891778510
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R107354 Issued in MD
Practice address
22 S Greene St
Baltimore, MD 21201-1544
Phone
(410) 328-6704
Fax
(410) 328-4124
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R107354 MD Primary

Addresses

Primary practice location

22 S Greene St
Baltimore, MD 21201-1544

Mailing address

809 Tyler Ave
Annapolis, MD 21403-2805
Phone (443) 610-3257

Other identifiers 1

IdentifierTypeStateIssuer
107500400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040427001143 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981691466 Reassigns benefits to 5 organizations
I20081022000426 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981691466 Reassigns benefits to 9 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R107354MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Sedation LLC CurrentSince Feb 26, 2020 Accepting new patients
Pain Management Associates, LLC CurrentSince Jun 18, 2020 Accepting new patients
Laurel MD Endoscopy ASC LLC Current Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Dec 1, 2017 Accepting new patients
Bestgate Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 26, 2016 Accepting new patients
Corridor Anesthesia, L.L.C. Nurse Anesthetist, Certified Registered CurrentSince Jan 28, 2009 Accepting new patients
Columbia Outpatient Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
Surgical Anesthesia Associates, PLLC CurrentSince Sep 1, 2010 Accepting new patients
Digestive Disease Associates, LLC CurrentSince Apr 1, 2020 Accepting new patients
North American Partners in Anesthesia Maryland LLC CurrentSince Jan 1, 2012 Accepting new patients
Montgomery Anesthesia Care, LLC CurrentSince Dec 11, 2011 Accepting new patients
Parkville Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Dec 1, 2017 Accepting new patients
Olney Endoscopy Center Past Accepting new patients
Hitchens and Henke, PA Nurse Anesthetist, Certified Registered PastSince Jun 3, 2025 Accepting new patients
First Colonies Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
The Anesthesia Group, P.a. Past Accepting new patients

Locations

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

1 University Ave
Ste 104
Westwood, MA 02090

820 Bestgate Rd
Ste 1A
Annapolis, MD 21401

621 Ridgely Ave
Ste 101
Annapolis, MD 21401
Phone (410) 224-3636

2401 W Belvedere Ave
Baltimore, MD 21215

700 Geipe Rd
Ste 230
Catonsville, MD 21228

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

10710 Charter Dr
Ste 110
Columbia, MD 21044
Phone (410) 992-9797

7120 Minstrel Way
Ste 100
Columbia, MD 21045
Phone (571) 210-4828

7300 Hanover Dr
Ste 204
Greenbelt, MD 20770
Phone (240) 297-9016

7350 Van Dusen Rd
Ste 230
Laurel, MD 20707
Phone (301) 498-5500

3407 Olandwood Ct
Unit 103
Olney, MD 20832
Phone (301) 570-8671

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

15005 Shady Grove Rd
Ste 200
Rockville, MD 20850
Phone (301) 340-8099

10110 Molecular Dr
Ste 100
Rockville, MD 20850
Phone (301) 838-0437

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

19 Fontana Ln
Ste 104
Rosedale, MD 21237
Phone (410) 574-7776

1220C E Joppa Rd
Ste 508
Towson, MD 21286
Phone (410) 296-4415

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1891778510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 TYLER AVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214032805",
            "telephone_number": "443-610-3257",
            "fax_number": "443-610-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-6704",
            "fax_number": "410-328-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DONALD",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R107354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107500400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.