Organization Active NPI

RC Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Easton, MD
National Provider Identifier
1083093363
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R126336 Issued in MD
Legal business name
RC ANESTHESIA LLC
Practice address
29466 Pintail Dr
Suite 8
Easton, MD 21601-9323
Phone
(410) 819-0710
Fax
(410) 819-0712
NPI assigned
May 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Authorized official

Name
Mrs. Janice F Abbott
Title
Reg MGR
Phone
(410) 819-0710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X R126336 MD Primary

Addresses

Primary practice location

29466 Pintail Dr
Suite 8
Easton, MD 21601-9323

Mailing address

29466 Pintail Dr
Suite 8
Easton, MD 21601-9323
Phone (410) 819-0710

Other identifiers 2

IdentifierTypeStateIssuer
404998500MedicaidMD
BX43-0000OtherMDCAREFIRST OF MARYLAND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160114000233 MD Part B Supplier - Clinic/Group Practice 8224330816 Receives reassigned benefits from 1 practitioner
Practice locations: Glen Arm, MD

National Provider Directory

National Provider Directory

Locations

29466 Pintail Dr
Ste 8
Easton, MD 21601
Phone (443) 496-3050

5233 King Ave
Ste 208
Rosedale, MD 21237
Phone (410) 294-6323

Practitioners & affiliated clinicians

Practitioners 1

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": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1083093363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29466 PINTAIL DR",
            "address_2": "SUITE 8",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216019323",
            "telephone_number": "410-819-0710",
            "fax_number": "410-819-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29466 PINTAIL DR",
            "address_2": "SUITE 8",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216019323",
            "telephone_number": "410-819-0710",
            "fax_number": "410-819-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RC ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "REG MGR",
        "authorized_official_telephone_number": "410-819-0710",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R126336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404998500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF MARYLAND",
            "identifier": "BX43-0000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.