Old Dominion Anesthesia LLC in Charlottesville, VA
This organization bills under NPI 1902248677, an organization record issued on Jul 23, 2013 with the primary taxonomy Anesthesiology Physician. Each clinician who works there has their own NPI and license.
Organization recordNPPES, Aug 2026
1902248677
- Legal name
- Old Dominion Anesthesia LLC
- Entity
- Type 2 · organization
- Primary taxonomy
- Anesthesiology Physician 207L00000X
- Practice location
- 1139 E HIGH ST STE 203, Charlottesville, VA 22902
- Phone
- 434-817-8484
- Mailing address
- Philadelphia, PA
- Enumerated
- Jul 23, 2013
- Record updated
- Jun 5, 2026
- Authorized official
- Ceo (title as filed)
16 clinicians CMS lists with Old Dominion Anesthesia in Charlottesville
- Bilal Alaji, CRNACertified Registered Nurse Anesthetist1649761909
- Oluwafemi BanjoCertified Registered Nurse Anesthetist1770850307
- Samuel Burt, CRNACertified Registered Nurse Anesthetist1942715412
- Robert Davis, MDAnesthesiology Physician1831490051
- Rachel Godwin, CRNACertified Registered Nurse Anesthetist1992118327
- Rita GonzalezCertified Registered Nurse Anesthetist1194032912
- Charles Jones, CRNACertified Registered Nurse Anesthetist1467692368
- Hayon LeeCertified Registered Nurse Anesthetist1780081976
- Karen Mathes, CRNACertified Registered Nurse Anesthetist1114224136
- Lisa Mathison, CRNACertified Registered Nurse Anesthetist1508967373
- Ernest Michel, MDAnesthesiology Physician1356353411
- Susan Oncu, CRNACertified Registered Nurse Anesthetist1629218524
- Jin Park, CRNACertified Registered Nurse Anesthetist1225403140
- Martha Peck, CRNACertified Registered Nurse Anesthetist1669548244
- Catherine Quiaoit, CRNACertified Registered Nurse Anesthetist1548704133
- Anne Sikorski, MDAnesthesiology Physician1558687160
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Checking an organization
- Confirm the business with the Virginia secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
All taxonomies on this record
- 207L00000X Anesthesiology Physician
- 367500000X Certified Registered Nurse Anesthetist
Common questions
Why is the mailing address in Pennsylvania?
The mailing address in the record (Philadelphia, PA) is where the organization receives mail. Care is given at the practice location in Charlottesville.
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.