Active NPI
Comfort Care Anesthesia LLC
- Certified Registered Nurse Anesthetist
- Laurel, MD
National Provider Identifier
1003031121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R143442
- Legal business name
- COMFORT CARE ANESTHESIA LLC
- Practice address
- 10512 Twin Cedar CT
Laurel, MD 20723-5721 - Phone
- (301) 497-9944
- NPI assigned
- Apr 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tawyana Mae Fleming, CRNA
- Title
- Crna
- Phone
- (301) 497-9944
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R143442 | MD | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 35280 | WV | |
| Certified Registered Nurse Anesthetist | 367500000X | 180984 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 1499 | SC |
Addresses
Primary practice location
10512 Twin Cedar CT
Laurel, MD 20723-5721
Mailing address
10512 Twin Cedar CT
Laurel, MD 20723-5721
Phone (301) 497-9944
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47TCTM | Other | MD | CAREFIRST |
| DG3055 | Other | GA | RAILROAD MEDICARE |
| 469P | Other | MD | MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207008000000",
"number": "1003031121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10512 TWIN CEDAR CT",
"city": "LAUREL",
"state": "MD",
"postal_code": "207235721",
"telephone_number": "301-497-9944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10512 TWIN CEDAR CT",
"city": "LAUREL",
"state": "MD",
"postal_code": "207235721",
"telephone_number": "301-497-9944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMFORT CARE ANESTHESIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-16",
"last_updated": "2008-04-01",
"status": "A",
"authorized_official_last_name": "FLEMING",
"authorized_official_first_name": "TAWYANA",
"authorized_official_middle_name": "MAE",
"authorized_official_title_or_position": "CRNA",
"authorized_official_telephone_number": "301-497-9944",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "R143442",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "35280",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "180984",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "1499",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "47TCTM",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DG3055",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "469P",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.