Healthcare Provider Details

I. General information

NPI: 1174430292
Provider Name (Legal Business Name): GREATER WASHINGTON ANESTHESIA NETWORK PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 L ST NW
WASHINGTON DC
20037-1527
US

IV. Provider business mailing address

PO BOX 3429
INDIANAPOLIS IN
46206-3429
US

V. Phone/Fax

Practice location:
  • Phone: 202-715-4600
  • Fax:
Mailing address:
  • Phone: 469-420-5527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY BERGER
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 301-917-7428