Healthcare Provider Details

I. General information

NPI: 1699636316
Provider Name (Legal Business Name): ANESTHESIA COMPANY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2025
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 LOCKHOUSE DR
POINT OF ROCKS MD
21777-2104
US

IV. Provider business mailing address

1901 LOCKHOUSE DR
POINT OF ROCKS MD
21777-2104
US

V. Phone/Fax

Practice location:
  • Phone: 301-874-2211
  • Fax: 410-280-2290
Mailing address:
  • Phone: 301-874-2211
  • Fax: 410-280-2290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KIMBERLY RUTH FLAYHART
Title or Position: DIRECTOR
Credential:
Phone: 410-280-2260