MEDICARE: SUMMIT ANESTHESIA, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	08846R	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225227556
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUMMIT ANESTHESIA, INC.

Provider Business Mailing Address
First Line	:	PO BOX 833
Second Line	:
City	:	MANDEVILLE
State	:	LA
Zip	:	70470-0833
Country	:	US
Telephone Number	:	985-624-3470
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 RANDOM OAKS LN
Second Line	:
City	:	MANDEVILLE
State	:	LA
Zip	:	70448-4565
Country	:	US
Telephone Number	:	985-624-3470
Fax Number	:

Authorized Official
Title or Position	:	OFFICER
Name	:	DR. DAVID C BALDONE
Credential	:	M.D.
Telephone Number	:	985-624-3470

Provider Enumeration Date	:	10/23/2007
Last Update Date	:	03/06/2012

Similar Medicare Providers

1235139072 — MRS. BONNIE T LUCIO OT
Practice Location Address:

120 RANDOM OAKS LN
MANDEVILLE, LA
70448-4565

Practice Phone: 985-624-9956
Practice Fax: 985-624-9956

1992921688 — DR. JODIE SUSAN HOLLOWAY M.D.
Practice Location Address:

112 RANDOM OAKS LN
MANDEVILLE, LA
70448-4565

Practice Phone: 985-674-0988
Practice Fax: 985-674-5308

1497697924 — STACI R JONES FNP LLC
Practice Location Address:

65518 LORETTA DRIVE
MANDEVILLE, LA
70448

Practice Phone: 985-635-6943
Practice Fax: 985-231-6733

1710820410 — ELISE CURRY RN
Practice Location Address:

5050 WALDEN PL
MANDEVILLE, LA
70448-7520

Practice Phone: 985-517-8111
Practice Fax:

1255004867 — NICOLE SONIER RN, IBCLC
Practice Location Address:

564 RED MAPLE DR
MANDEVILLE, LA
70448-6283

Practice Phone: 504-220-3672
Practice Fax:

1700881133 — MRS. JENNIFER MARIE FABRE FAIRLEY P.T. PH.D. CSCS
Practice Location Address:

1901 HIGHWAY 190 STE 26
MANDEVILLE, LA
70448-3495

Practice Phone: 985-778-2282
Practice Fax: 866-767-8329

Directions to “SUMMIT ANESTHESIA, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.