OLD DOMINION ANESTHESIA LLC (NPI# 1902248677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902248677 |
| Entity Type | Organization |
| Organization Name | OLD DOMINION ANESTHESIA LLC |
| Practice Address |
3914 Centreville Rd Ste 350 Chantilly VA 20151-3289 |
| Mailing Address |
Po Box 221891 Chantilly VA 20153-1891 |
| Practice Telephone | 7037161097 |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | LANCE LASNER (PRESIDENT) |
| Authorized Official Telephone | 7039566831 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Street Address |
3914 CENTREVILLE RD STE 350 |
| City | CHANTILLY |
| State | VA |
| Zip Code | 20151-3289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588641419 | George Michael Lynch | Family Medicine | 3914 Centreville Rd, #250, Chantilly, VA 20151-3224 | 2005-12-30 |
| 1801329750 | Irini Gouda | Physical Therapist | 3914 Centreville Rd, Ste 240, Chantilly, VA 20151-3289 | 2017-04-07 |
| 1578964284 | Emily Fincher | Physical Therapist | 3914 Centreville Rd, Ste 240, Chantilly, VA 20151-3289 | 2014-09-12 |
| 1487912283 | Jamie Patterson Fairgrieve | Physician Assistant | 3914 Centreville Rd, Chantilly, VA 20151-3289 | 2012-04-30 |
| 1528344108 | Daniel Ho-yoon Lee | Physical Therapist | 3914 Centreville Rd, Suite 240, Chantilly, VA 20151-3289 | 2011-10-27 |
| 1407148489 | Deborah A. Fenyak | Nurse Anesthetist, Certified Registered | 3914 Centreville Rd, Ste 350, Chantilly, VA 20151-3289 | 2011-05-09 |
| 1275838625 | Commonwealth Anesthesia Group LLC | Nurse Anesthetist, Certified Registered | 3914 Centreville Rd, Ste 350, Chantilly, VA 20151-3289 | 2011-01-17 |
| 1215264916 | Inova Physician Partners, Inc. | Family Medicine | 3914 Centreville Rd, Suite 250, Chantilly, VA 20151-3289 | 2009-11-17 |
| 1174859011 | Sedation Services, LLC | Anesthesiology | 3914 Centreville Rd, Suite 350, Chantilly, VA 20151-3289 | 2009-10-28 |
| 1417181512 | Kristina R Murphy | Physical Therapist | 3914 Centreville Rd, Suite 240, Chantilly, VA 20151-3289 | 2009-05-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635695 | Sabah Home Care | Home Health | 4221 Walney Rd Suite 500 C, Chantilly, VA 20151 | 2020-06-30 |
| 1205485976 | Huang Wellness Center LLC | Acupuncturist | 14145 Robet Paris Ct, Chantilly, VA 20151 | 2019-09-05 |
| 1376032714 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 14337 Newbrook Drive, Suite 400, Chantilly, VA 20151 | 2018-05-01 |
| 1013405950 | Chantilly Modern Dentistry, PC | Dentist | 14337 Newbrook Dr., Suite 200, Chantilly, VA 20151 | 2018-04-26 |
| 1972090389 | Wegmans Food Markets, Inc. | Pharmacy | 14361 Newbrook Dr., Chantilly, VA 20151 | 2018-04-20 |
| 1922526714 | Cynthia Anne Biggar | Specialist/Technologist | 13613 Bare Island Drive, Chantilly, VA 20151 | 2017-09-01 |
| 1497297717 | Rebekah Lee Hinders | Nurse Practitioner | 3914 Centrevill Rd, Suite 101, Chantilly, VA 20151 | 2016-11-17 |
| 1043761117 | Victoria Ranti Balogun | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-10-24 |
| 1619424694 | Erin Booker | Nurse Practitioner | Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-09-07 |
| 1326419078 | Amparo Emilia Kidd | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2015-10-07 |
| Find all providers in zip 20151 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174859011 | Sedation Services, LLC | Anesthesiology | 3914 Centreville Rd, Suite 350, Chantilly, VA 20151-3289 | 2009-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573534 | Dulles Pain & Functional Medicine | Anesthesiology | 20 Pidgeon Hill Dr Ste 205, Sterling, VA 20165-6134 | 2020-09-16 |
| 1306473491 | Metropolitan Anesthesia Consultants, Pllc | Anesthesiology | 1219 Chadsworth Ct, Mc Lean, VA 22102-2319 | 2020-03-26 |
| 1174164578 | Bon Secours Medical Group Hampton Roads Specialty Care LLC | Anesthesiology | 3640 High St Ste 1f, Portsmouth, VA 23707-3213 | 2019-10-07 |
| 1487203998 | Christine Joyce Hanson | Anesthesiology | 11512 Gordon Rd, Fredericksburg, VA 22407-1775 | 2019-09-06 |
| 1962976043 | The Devana Group LLC | Anesthesiology | 17739 Main St Ste 110, Dumfries, VA 22026-3256 | 2019-01-11 |
| 1588175970 | Louisa Catherine Korte | Anesthesiology | 3107 Summerhouse Drive, Suffolk, VA 23435 | 2017-10-12 |
| 1093231979 | Gapc Anesthesia, LLC | Anesthesiology | 7915 Lake Manassas Dr Ste 302, Gainesville, VA 20155-3260 | 2017-08-22 |
| 1427574581 | Pars Anesthesia Associates, Pllc | Anesthesiology | 2280 Opitz Blvd Ste 200, Woodbridge, VA 22191-3330 | 2017-08-20 |
| 1205367240 | One Anesthesia of Virginia, PC | Anesthesiology | 480 Labrador Ln, Charlottesville, VA 22903-7229 | 2017-03-22 |
| 1457882649 | Capital Anesthesia Associates LLC | Anesthesiology | 746 Walker Rd, Ste 16-d, Great Falls, VA 22066-2643 | 2017-03-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.