Provider Demographics
NPI:1386894426
Name:FALMOUTH ANESTHESIA AND PAIN MANAGEMENT PC
Entity type:Organization
Organization Name:FALMOUTH ANESTHESIA AND PAIN MANAGEMENT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-296-1010
Mailing Address - Street 1:PO BOX 845733
Mailing Address - Street 2:FALMOUTH ANESTHESIA AND PAIN MANAGEMENT PC
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02284-5733
Mailing Address - Country:US
Mailing Address - Phone:800-720-1664
Mailing Address - Fax:207-753-2020
Practice Address - Street 1:39 EDGERTON DR
Practice Address - Street 2:BAYSIDE SURGICAL CENTER
Practice Address - City:NORTH FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02556-2821
Practice Address - Country:US
Practice Address - Phone:508-296-1010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-25
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0007966Medicare PIN