NPIMap

Organization Active NPI

Medstar Health Anesthesia Services E, LLC

  • Anesthesiology Physician
  • Olney, MD
National Provider Identifier
1023273653
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MEDSTAR HEALTH ANESTHESIA SERVICES E, LLC
Practice address
18101 Prince Philip Dr
Olney, MD 20832-1514
Phone
(301) 774-8882
NPI assigned
Jul 23, 2008
Organization subpart
Yes
Parent organization
MONTGOMERY GENERAL HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Eric R. Wagner
Title
President
Phone
(410) 772-6595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

18101 Prince Philip Dr
Olney, MD 20832-1514

Mailing address

8094 Sandpiper Cir
Suite O
Baltimore, MD 21236-4907
Phone (410) 933-3016

National Provider Directory

National Provider Directory
Part of
Montgomery General Hospital

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1023273653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8094 SANDPIPER CIR",
            "address_2": "SUITE O",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364907",
            "telephone_number": "410-933-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18101 PRINCE PHILIP DR",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321514",
            "telephone_number": "301-774-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR HEALTH ANESTHESIA SERVICES E, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTGOMERY GENERAL HOSPITAL, INC.",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-772-6595",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.

Verify at the official NPI Registry.