OrganizationFrederick Anesthesia, LlcAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address85 Thomas Johnson Ct, Suite E, Frederick, MD 21702-4331(301) 668-1600(301) 829-7683PECOS EnrollmentBased on the most recent information from CMS, provider Frederick Anesthesia, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1639283757Provider TypeOrganizationFull NameFrederick Anesthesia, LlcSubpartNoEnumeration Date8/18/2006Last Updated10/16/2007Contact InformationPractice LocationPractice Address85 Thomas Johnson Ct, Suite E, Frederick, MD 21702-4331Phone(301) 668-1600Fax(301) 829-7694Mailing LocationMailing Address602 Center St, Suite 107, Mount Airy, MD 21771-7420Phone(301) 829-7683Fax(301) 829-7694Authorized OfficialNameJordan, David Lee (President)Phone(301) 829-7683Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID230BFRDescriptionOtherIssuerCAREFIRST PAR PROVIDER #MarylandIDK297DescriptionOtherIssuerCAREFIRST PAR PROVIDER #District of ColumbiaIDDC6641DescriptionOtherIssuerRAILROAD PAR GROUP #District of ColumbiaIDCA7369DescriptionOtherIssuerRR MEDICAREMaryland