Organization
HANOVER ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LEE JORDAN M.D. (PRESIDENT)
(301) 829-7683
Entity
Organization
Contact information
Practice address
7016 LEE PARK RD, MECHANICSVILLE, VA 23111-3682
(804) 730-9000
(301) 829-7694
Mailing address
602 CENTER ST, SUITE E, MOUNT AIRY, MD 21771-7420
(301) 829-7683
(301) 829-7694
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB9839
RR MEDICAREGROUP#
VA
Enumeration date
09/12/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us