MEDICARE: MR. DOUGLAS EDWARD KIRCHER CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	R120296	MD
2	367500000X	Certified Registered Nurse Anesthetist	R120296	PA

General Provider Information

NPI Number	:	1033114699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DOUGLAS EDWARD KIRCHER CRNA

Provider Business Mailing Address
First Line	:	1861 POWDER MILL RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-4723
Country	:	US
Telephone Number	:	717-718-2041
Fax Number	:	717-747-2102

Provider Business Practice Location Address
First Line	:	8140 CORPORATE DR STE 125
Second Line	:
City	:	NOTTINGHAM
State	:	MD
Zip	:	21236-6901
Country	:	US
Telephone Number	:	410-931-9729
Fax Number	:	410-931-2133

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	12/24/2025

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