ADVANCED ANESTHESIA, LLC (NPI# 1194961730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194961730 |
| Entity Type | Organization |
| Organization Name | ADVANCED ANESTHESIA, LLC |
| Practice Address |
8875 Centre Park Dr Suite D Columbia MD 21045-2382 |
| Practice Telephone | 4107301000 |
| Mailing Telephone | 4107301000 |
| Enumeration Date | 2009-01-03 |
| Last Update Date | 2009-09-24 |
| Authorized Official Name | DR. RUSSELL O SCHUB (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4107301000 |
| Authorized Official Credential | P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | H35058 | MD | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407353428 | Advanced Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1155 Pocatello Creek Rd, Pocatello, ID 83201-2949 | 2018-04-06 |
| Street Address |
8875 CENTRE PARK DR SUITE D |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-2382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679583587 | Russell Owen Schub | Internal Medicine | 8875 Centre Park Dr, Suite D, Columbia, MD 21045-2114 | 2006-08-09 |
| 1598932626 | Tsal N Wei | Anesthesiology | 8875 Centre Park Dr, Suite D, Columbia, MD 21045-2382 | 2008-05-08 |
| 1790974152 | Dara E Burstein | Nurse Practitioner | 8875 Centre Park Dr, Suite D, Columbia, MD 21045-2382 | 2007-10-22 |
| 1336332998 | Dr Russell O Schub Pa | Nurse Practitioner | 8875 Centre Park Dr, Suite D, Columbia, MD 21045-2382 | 2007-08-27 |
| 1831214717 | Advanced Endoscopy Center of Howard County, LLC | Clinic/Center | 8875 Centre Park Dr, Ste D, Columbia, MD 21045-2114 | 2007-03-20 |
| 1356436273 | Deborah Jackson | Nurse Practitioner | 8875 Centre Park Dr, Suite D, Columbia, MD 21045-2114 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497302152 | Holistic Pediatric Ot, Inc. | Clinic/Center | 1606 E Nancy Ct, Columbia, MO 65201-9359 | 2019-08-19 |
| 1497249874 | Testing | Clinic/Center | 4100 N Main St Ste 104, Columbia, SC 29203-5800 | 2018-06-19 |
| 1801303839 | Eye Associates of Columbia Inc | Clinic/Center | 470-5 Town Center Pl, Lenscrafters, Columbia, SC 29229 | 2017-12-28 |
| 1285176727 | Intrinsic Chiropractic and Wellness Clinic, LLC | Clinic/Center | 1825 Barnwell St, Columbia, SC 29201-2601 | 2016-11-15 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1265784912 | Aids Healthcare Foundation | Clinic/Center | 4100 N Main St Ste 102, Columbia, SC 29203-5800 | 2012-10-04 |
| 1902165467 | Medcare Urgent Care Center Garners Ferry, LLC | Clinic/Center | 7418 Garners Ferry Road, Columbia, SC 29209 | 2012-05-03 |
| 1700166360 | Neurology Clinic of Maryland, Inc. | Clinic/Center | 10770 Hickory Ridge Rd, Columbia, MD 21044-3646 | 2011-08-26 |
| 1659682938 | Walk In Medical Clinic | Clinic/Center | 900 Rain Forest Pkwy Ste B, Columbia, MO 65202-3796 | 2010-07-01 |
| 1225210420 | Grant Chiropractic Center, Inc | Clinic/Center | 908 Russell Rd, Columbia, KY 42728-1036 | 2007-11-29 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.