TIDEWATER ANESTHESIA ASSOCIATES, PA (NPI# 1780621474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780621474 |
| Entity Type | Organization |
| Organization Name | TIDEWATER ANESTHESIA ASSOCIATES, PA |
| Practice Address |
219 S. Washington St. Easton MD 21601-0712 |
| Mailing Address |
Po Box 824639 Philadelphia PA 19182-4639 |
| Practice Telephone | 4108221000 |
| Practice Fax Number | 4108190712 |
| Mailing Telephone | 8887093107 |
| Mailing Fax Number | 3027330854 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2016-03-17 |
| Authorized Official Name | JOHN SNELL (MD) |
| Authorized Official Telephone | 4108221000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | D0021319 | MD | Allopathic & Osteopathic Physicians |
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 155221000 | 05 |
| Street Address |
219 S. WASHINGTON ST. |
| City | EASTON |
| State | MD |
| Zip Code | 21601-0712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
| 1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
| 1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
| 1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
| 1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
| 1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
| Find all providers in zip 21601 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619476603 | Gary Alexander Dee | Anesthesiology | 294 Morehouse Rd, Easton, CT 06612-2145 | 2018-02-06 |
| 1245667294 | Koretada Kondo | Anesthesiology | 50 Burroughs Rd, Easton, CT 06612-1410 | 2013-10-07 |
| 1023451085 | Matthew S Yoder | Anesthesiology | 3500 Corriere Rd Apt 100, Easton, PA 18045 | 2013-04-09 |
| 1376703132 | Arun M Kandra | Anesthesiology | 3735 Easton Nazareth Hwy Ste 203, Easton, PA 18045-8346 | 2008-06-13 |
| 1841405859 | Integrax, LLC | Anesthesiology | 9 Londonderry Dr, Easton, MD 21601-2537 | 2007-05-12 |
| 1922137942 | David C Brandon | Anesthesiology | 8464 Aveley Farm Road, Easton, MD 21601 | 2007-03-05 |
| 1124195151 | Mountainview Anesthesia | Anesthesiology | 3729 Easton Nazareth Highway, Easton, PA 18045 | 2006-11-28 |
| 1912987355 | Douglas Fenton Wiseman | Anesthesiology | 6836 Cookes Hope Rd, Easton, MD 21601-8302 | 2006-01-20 |
| 1013907450 | Mark P Downey | Anesthesiology | 219 S Washington St, Easton, MD 21601-2913 | 2005-10-26 |
| 1780688770 | Pragna R Bhagat | Anesthesiology | 250 South 21st Street, Easton, PA 18042 | 2005-06-08 |
| Find all providers in EASTON | ||||
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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.