Active NPI
MD Anesthesia, LLC
- Certified Registered Nurse Anesthetist
- Frederick, MD
National Provider Identifier
1013374198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- MD ANESTHESIA, LLC
- Practice address
- 1003 W 7TH St
Suite 400
Frederick, MD 21701-4106 - Phone
- (301) 662-3721
- Fax
- (301) 631-5668
- NPI assigned
- Jan 21, 2016
- 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
- Paul D Weir
- Title
- Member
- Phone
- (706) 623-6699
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
1003 W 7TH St
Suite 400
Frederick, MD 21701-4106
Mailing address
1090 Experiment Station Rd Unit 529
Watkinsville, GA 30677-5378
Phone (706) 623-6699
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453334400000",
"number": "1013374198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 EXPERIMENT STATION RD UNIT 529",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306775378",
"telephone_number": "706-623-6699",
"fax_number": "706-850-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 W 7TH ST",
"address_2": "SUITE 400",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014106",
"telephone_number": "301-662-3721",
"fax_number": "301-631-5668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MD ANESTHESIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-21",
"last_updated": "2016-01-21",
"status": "A",
"authorized_official_last_name": "WEIR",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "706-623-6699"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.