OrganizationActive
Tidewater Anesthesia Associates
NPI 1003407164 · Anesthesiology Physician · Easton, MD
Provider details
- NPI number
- 1003407164
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bradley Kleinert, Authorized Official(717) 413-4756
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Certified Registered Nurse Anesthetist367500000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
219 S Washington St
Easton, MD 21601-2913
Phone: (410) 310-8576
Street-level locationGet directions
Mailing address
Po Box 1208
Easton, MD 21601-8924
Registry dates
- Enumerated
- 2021-02-01
- Last updated
- 2025-02-07
- Certified
- 2025-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.