SHADY GROVE ANESTHESIA ASSOCIATE LLC
NPI 1326482126
Nurse Anesthetist, Certified Registered in Rockville, MD

Active since April 23, 2013
9600 BLACKWELL ROAD, SUITE 500, ROCKVILLE, MD 20850(301) 340-1188(301) 340-1612 Get Directions Write a Review

NPPES record last updated: February 16, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Nurse Anesthetist, Certified Registered

About SHADY GROVE ANESTHESIA ASSOCIATE LLC

This page provides the complete NPI Profile along with additional information for Shady Grove Anesthesia Associate Llc, a provider established in Rockville, Maryland operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1326482126 assigned on April 2013. The practitioner's primary taxonomy code is 367500000X with license number R115576 (MD). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Shelly Shapiro (Chief Financial Officer)

NPI
1326482126 Verify this NPI
Provider Name
SHADY GROVE ANESTHESIA ASSOCIATE LLC
Entity Type
Organization
Location Address
9600 BLACKWELL ROAD SUITE 500 ROCKVILLE, MD 20850
Location Phone
(301) 340-1188
Location Fax
(301) 340-1612
Mailing Address
9600 BLACKWELL RD STE 500 ROCKVILLE, MD 20850
Mailing Phone
(301) 340-1188
Mailing Fax
(301) 340-1612
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-23-2013
Last Update Date
02-16-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
R115576
License State
MD
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHELLY SHAPIRO

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(301) 545-1407

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326482126, enumerated as an "organization" on April 23, 2013.

The provider is located at 9600 BLACKWELL ROAD SUITE 500 ROCKVILLE, MD 20850 and the phone number is (301) 340-1188.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.