Healthcare Provider Details

I. General information

NPI: 1053675199
Provider Name (Legal Business Name): AMERICAN ANESTHESIOLOGY OF VIRGINIA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2012
Last Update Date: 08/05/2020
Certification Date: 08/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224-D NW CORNWALL STREET SUITE 205
LEESBURG VA
20176
US

IV. Provider business mailing address

1500 CONCORD TER
SUNRISE FL
33323-2815
US

V. Phone/Fax

Practice location:
  • Phone: 888-280-9533
  • Fax:
Mailing address:
  • Phone: 800-243-3839
  • Fax: 844-686-2961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. CLAVIO ASCARI
Title or Position: VICE PRESIDENT
Credential: MD
Phone: 800-243-3839