FREDERICK ANESTHESIA, LLC
NPI 1639283757
Anesthesiology in Frederick, MD

NPI Status: Active since August 18, 2006

Contact Information

85 THOMAS JOHNSON CT
SUITE E
FREDERICK, MD
ZIP 21702
Phone: (301) 668-1600
Fax: (301) 829-7694

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  • Organization
  • Anesthesiology
  • CLIA Number: 21D0937442
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-15-2025

About FREDERICK ANESTHESIA, LLC

This page provides the complete NPI Profile along with additional information for Frederick Anesthesia, Llc, an anesthesiologist established in Frederick, Maryland operating as a Anesthesiology. The healthcare provider is registered in the NPI registry with number 1639283757 assigned on August 2006. The practitioner's primary taxonomy code is 207L00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. David Lee Jordan M.d. (President)

NPI
1639283757
Provider Name
FREDERICK ANESTHESIA, LLC
Entity Type
Organization
Location Address
85 THOMAS JOHNSON CT SUITE E FREDERICK, MD 21702
Location Phone
(301) 668-1600
Location Fax
(301) 829-7694
Mailing Address
602 CENTER ST SUITE 107 MOUNT AIRY, MD 21771
Mailing Phone
(301) 829-7683
Mailing Fax
(301) 829-7694
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-18-2006
Last Update Date
10-16-2007
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An anesthesiologist like Frederick Anesthesia, Llc manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

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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

Anesthesiology

Taxonomy Code
207L00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DR. DAVID LEE JORDAN M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(301) 829-7683

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
DC6641OTHER (01)DCRAILROAD PAR GROUP #
072NMEDICARE ID-TYPE UNSPECIFIED (04)MDGROUP PAR PROVIDER #
K297OTHER (01)DCCAREFIRST PAR PROVIDER #
CA7369OTHER (01)MDRR MEDICARE
230BFROTHER (01)MDCAREFIRST PAR PROVIDER #

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D0937442
Facility Type
Physician Office
Certificate Effective Date
December 16, 2023
Certificate Expiration Date
December 15, 2025
Laboratory Director
BRIAN B. SWINTON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Frederick Anesthesia, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639283757
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669486710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 4 + 8 + 6 + 7 + 1 + 0 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1639283757 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033189386MS. ROBERTA R TAYLOR PA-C
Individual
Physician Assistant85 THOMAS JOHNSON CT SUITE B
FREDERICK, MD 21702
(301) 663-9440
1811072291DR. DOUGLAS JOHN KOCH DDS
Individual
Dentist (Endodontics)85 THOMAS JOHNSON CT SUITE A
FREDERICK, MD 21702
(301) 663-0052
1114934684 LORI KAY PETERS CRNP
Individual
Nurse Practitioner85 THOMAS JOHNSON CT SUITE D
FREDERICK, MD 21702
(301) 797-6389
1588653786DR. LEONARD E KANE M.D.
Individual
Internal Medicine (Gastroenterology)85 THOMAS JOHNSON CT SUITE B
FREDERICK, MD 21702
(301) 663-9440
1669866489MID-MARYLAND ANESTHESIA LLC
Organization
Anesthesiology85 THOMAS JOHNSON CT SUITE C
FREDERICK, MD 21702
(301) 663-9440
1740436245TYRA D. KANE
Organization
Internal Medicine85 THOMAS JOHNSON CT SUITE C
FREDERICK, MD 21702
(301) 668-9393
1407829732COURT ENDOSCOPY CENTER OF FREDERICK, INC.
Organization
Clinic/Center (Endoscopy)85 THOMAS JOHNSON CT SUITE E
FREDERICK, MD 21702
(301) 668-1600
1427012053GASTROENTEROLOGY SPECIALISTS OF FREDERICK, P.A.
Organization
Internal Medicine (Gastroenterology)85 THOMAS JOHNSON CT SUITE B
FREDERICK, MD 21702
(301) 663-9440
1982789269DOUGLAS J. KOCH, D.D.S.,L.L.C.
Organization
Dentist (Endodontics)85 THOMAS JOHNSON CT SUITE A
FREDERICK, MD 21702
(301) 663-0052

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639283757, enumerated in the NPI registry as an "organization" on August 18, 2006

The provider is located at 85 Thomas Johnson Ct Suite E Frederick, Md 21702 and the phone number is (301) 668-1600

This medical organization specializes in Anesthesiology with taxonomy code 207L00000X

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 21D0937442 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on August 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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