Tranquil Anesthesia Group LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

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

Last updated

Aug 9, 2018By the provider in NPPES

Organization subpart

No

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

Addresses

Locations

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": []
}

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• Anesthesiology Physician in Woodbridge, VA
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• 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.

Verify at the official NPI Registry.