Healthcare Provider Details

I. General information

NPI: 1356210645
Provider Name (Legal Business Name): ANESTHESIA COMPANY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 MOUNT HERMON RD STE B
SALISBURY MD
21804-5109
US

IV. Provider business mailing address

700 MELVIN AVE STE 7A
ANNAPOLIS MD
21401-1515
US

V. Phone/Fax

Practice location:
  • Phone: 410-641-3735
  • Fax: 410-641-0596
Mailing address:
  • Phone: 410-280-2260
  • Fax:

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