Organization Active NPI

Regional Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Silver Spring, MD
National Provider Identifier
1043434855
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
H0058012 Issued in MD
Legal business name
REGIONAL ANESTHESIA ASSOCIATES, LLC
Practice address
8905 Fairview Rd
Suite 100
Silver Spring, MD 20910-4150
Phone
(301) 588-8300
Fax
(301) 588-9256
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen M. Nilsen, D.O.
Title
Ceo Director of Anesthesia Services
Phone
(301) 602-8576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X H0058012 MD Primary

Addresses

Primary practice location

8905 Fairview Rd
Suite 100
Silver Spring, MD 20910-4150

Mailing address

28665 Earthlite Rd
Wye Mills, MD 21679-2024
Phone (301) 602-8576

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043434855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28665 EARTHLITE RD",
            "city": "WYE MILLS",
            "state": "MD",
            "postal_code": "216792024",
            "telephone_number": "301-602-8576",
            "fax_number": "410-827-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 FAIRVIEW RD",
            "address_2": "SUITE 100",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104150",
            "telephone_number": "301-588-8300",
            "fax_number": "301-588-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL ANESTHESIA ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NILSEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO DIRECTOR OF ANESTHESIA SERVICES",
        "authorized_official_telephone_number": "301-602-8576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "H0058012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.