Penn Mar Anesthesia, Llc
LBN: Penn Mar Anesthesia, Llc
Penn Mar Anesthesia, Llc is an health care organization with primary practice located at 11110 Medical Campus Rd Suite 228, Hagerstown MD 21742-6700. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty.
Penn Mar Anesthesia, Llc can be contacted via phone (301) 733-0022, or through Haugh, Jeffrey Thomas via phone (301) 685-3555.
Contact Information
Primary practice address
11110 Medical Campus Rd Suite 228
Hagerstown MD 21742-6700
Phone: (301) 733-0022
Fax:
Website:
Authorized official contact:
Name: Haugh, Jeffrey Thomas Doctor of Medicine (MD)
Phone: (301) 685-3555
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | D0037485 | Maryland |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD060826L | Pennsylvania |
Profile Details
| NPI number | 1205880390 |
|---|---|
| LBN Legal business name | Penn Mar Anesthesia, Llc |
| DBA Doing business as | |
| Authorized official | Haugh, Jeffrey Thomas Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Jun 28th, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205880390 | NPPES |
| Maryland | Other | 420P | MARYLAND MEDICARE GROUP |
| Maryland | Other | DF7236 | MARYLAND MEDICARE GROUP |
| Maryland | MEDICAID | 412508800 | MARYLAND MEDICARE GROUP |
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