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

Tidewater Anesthesia Associates, PA

Organization Anesthesiology Physician · NPI 1629873625

Tidewater Anesthesia Associates, PA is an Anesthesiology Physician in Cambridge, Maryland. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

713 Cambridge Marketplace Blvd
Cambridge, MD 21613-2563
Phone: (410) 228-5511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1629873625
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradley Kleinert — President · (717) 413-4756
NPI enumeratedFebruary 14, 2025
Last updated in NPPESFebruary 14, 2025
Certification dateFebruary 14, 2025
Mailing addressPo Box 1208, Easton, MD 21601-8924

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