Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Old Dominion Anesthesia LLC

Organization Anesthesiology Physician · NPI 1902248677

Old Dominion Anesthesia LLC is an Anesthesiology Physician in Charlottesville, Virginia. Works from 2 locations. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1139 E High St Ste 203
Charlottesville, VA 22902-4849
Phone: (434) 817-8484
Fax: (434) 817-8490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3914 Centreville Rd, Chantilly, VA 20151-3289 — (703) 716-1097

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1902248677
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Oliver — Ceo · (786) 530-3820
NPI enumeratedJuly 23, 2013
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026
Mailing addressPo Box 71819, Philadelphia, PA 19176-1819

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