Provider Demographics
NPI:1124089610
Name:ZINDER ANESTHESIA ASSOCIATES LLC
Entity type:Organization
Organization Name:ZINDER ANESTHESIA ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:RALPH
Authorized Official - Last Name:ZINDER
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:410-825-6652
Mailing Address - Street 1:341 LEISTERS CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157
Mailing Address - Country:US
Mailing Address - Phone:410-825-6652
Mailing Address - Fax:410-825-6654
Practice Address - Street 1:1205 YORK RD
Practice Address - Street 2:STE 39D
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093
Practice Address - Country:US
Practice Address - Phone:410-825-6652
Practice Address - Fax:410-825-6654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-01
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR045780367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD193451100Medicaid
DCG01882A01OtherMEDICARE
MDKCF2OtherBC
MDKCF2OtherBC