Healthcare Provider Details

I. General information

NPI: 1649114869
Provider Name (Legal Business Name): CRH ANESTHESIA OF MARYLAND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7501 FORBES BLVD STE 103
LANHAM MD
20706-6201
US

IV. Provider business mailing address

PO BOX 301966
DALLAS TX
75303-1966
US

V. Phone/Fax

Practice location:
  • Phone: 425-803-3885
  • Fax:
Mailing address:
  • Phone: 888-717-5383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: JAMES KREGER
Title or Position: CEO
Credential:
Phone: 502-418-4700