Healthcare Provider Details

I. General information

NPI: 1821033010
Provider Name (Legal Business Name): MARY WASHINGTON HEALTHCARE SPECIALTY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 SAM PERRY BLVD
FREDERICKSBURG VA
22401
US

IV. Provider business mailing address

2300 FALL HILL AVE STE 312
FREDERICKSBURG VA
22401-3343
US

V. Phone/Fax

Practice location:
  • Phone: 540-741-1041
  • Fax:
Mailing address:
  • Phone: 540-741-2277
  • Fax: 540-741-1029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. CHRISTOPHER D NEWMAN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 540-741-3248