MEDICARE: ANESTHESIA COMPANY, LLC

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	367500000X	Certified Registered Nurse Anesthetist
2	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1699636316
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANESTHESIA COMPANY, LLC

Provider Business Mailing Address
First Line	:	1901 LOCKHOUSE DR
Second Line	:
City	:	POINT OF ROCKS
State	:	MD
Zip	:	21777-2104
Country	:	US
Telephone Number	:	301-874-2211
Fax Number	:	410-280-2290

Provider Business Practice Location Address
First Line	:	1901 LOCKHOUSE DR
Second Line	:
City	:	POINT OF ROCKS
State	:	MD
Zip	:	21777-2104
Country	:	US
Telephone Number	:	301-874-2211
Fax Number	:	410-280-2290

Authorized Official
Title or Position	:	DIRECTOR
Name	:	KIMBERLY RUTH FLAYHART
Credential	:
Telephone Number	:	410-280-2260

Provider Enumeration Date	:	11/21/2025
Last Update Date	:	11/21/2025

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