MEDICARE: FALMOUTH ANESTHESIA AND PAIN MANAGEMENT PC

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	207LP2900X	Pain Medicine (Anesthesiology) Physician
2	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1386894426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FALMOUTH ANESTHESIA AND PAIN MANAGEMENT PC

Provider Business Mailing Address
First Line	:	PO BOX 845733
Second Line	:	FALMOUTH ANESTHESIA AND PAIN MANAGEMENT PC
City	:	BOSTON
State	:	MA
Zip	:	02284-5733
Country	:	US
Telephone Number	:	800-720-1664
Fax Number	:	207-753-2020

Provider Business Practice Location Address
First Line	:	39 EDGERTON DR
Second Line	:	BAYSIDE SURGICAL CENTER
City	:	NORTH FALMOUTH
State	:	MA
Zip	:	02556-2821
Country	:	US
Telephone Number	:	508-296-1010
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANDREW SHAYNE
Credential	:	M.D.
Telephone Number	:	508-296-1010

Provider Enumeration Date	:	09/25/2008
Last Update Date	:	02/13/2009

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