Active NPI
Tranquil Anesthesia Group LLC
- Anesthesiology Physician
- Woodbridge, VA
National Provider Identifier
1083100010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- TRANQUIL ANESTHESIA GROUP LLC
- Practice address
- 14010 Smoketown Rd Ste 117
Woodbridge, VA 22192 - Phone
- (703) 349-1856
- NPI assigned
- Jul 2, 2018
- 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
- Kenneth Josovitz, MD
- Title
- Physician
- Phone
- (703) 349-1856
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
14010 Smoketown Rd Ste 117
Woodbridge, VA 22192
Mailing address
14010 Smoketown Rd Ste 120
Woodbridge, VA 22192-4722
Other practice location 1
8140 Ashton Ave Ste 212
Manassas, VA 20109-5701
Phone (703) 662-1471
Other practice location 2
1800 N Beauregard St Ste 200
Alexandria, VA 22311-1725
Phone (703) 662-1471
National Provider Directory
National Provider DirectoryLocations
14010 Smoketown Rd
Ste 120
Woodbridge, VA 22192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533772800000",
"number": "1083100010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14010 SMOKETOWN RD STE 120",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221924722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14010 SMOKETOWN RD STE 117",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "22192",
"telephone_number": "703-349-1856"
}
],
"practiceLocations": [
{
"address_1": "8140 Ashton Ave Ste 212",
"address_purpose": "LOCATION",
"city": "Manassas",
"state": "VA",
"postal_code": "201095701",
"country_code": "US",
"telephone_number": "703-662-1471",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 N Beauregard St Ste 200",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223111725",
"country_code": "US",
"telephone_number": "703-662-1471",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TRANQUIL ANESTHESIA GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-02",
"last_updated": "2018-08-09",
"status": "A",
"authorized_official_last_name": "JOSOVITZ",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "703-349-1856",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.