Provider Demographics
NPI:1609847383
Name:MSH ANESTHESIA ASSOCIATES, P.C
Entity type:Organization
Organization Name:MSH ANESTHESIA ASSOCIATES, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-364-2500
Mailing Address - Street 1:PO BOX 17241
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21297-1241
Mailing Address - Country:US
Mailing Address - Phone:240-364-2500
Mailing Address - Fax:240-364-9020
Practice Address - Street 1:5812 DURBIN RD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-6121
Practice Address - Country:US
Practice Address - Phone:240-364-2500
Practice Address - Fax:240-364-9020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-30
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G00303Medicare UPIN