Organization Active NPI

Tranquil Anesthesia Group LLC

  • Anesthesiology Physician
  • Woodbridge, VA
National Provider Identifier
1083100010
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.