# CENTRAL VIRGINIA ANESTHESIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720489230
- **Authorized official:** LEWIS ANDERSON (CFO)
- **Authorized official phone:** (301) 829-7683

## Contact information

- **Practice address:** 1500 DIXON ST, SUITE 101, FREDERICKSBURG, VA 22401-7231
- **Practice address phone:** (301) 829-7683
- **Practice address fax:** (301) 829-7694
- **Mailing address:** 1302 RISING RIDGE RD, SUITE 1, MOUNT AIRY, MD 21771-5790
- **Mailing address phone:** (301) 829-7683
- **Mailing address fax:** (301) 829-7694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | VA | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | VA | — |

## Other

- **Enumeration date:** 09/16/2014
- **Last updated:** 09/16/2014