Organization Active NPI

Mountain Maryland Anesthesia Services LLC

Doing business as SurgCenter of Western Maryland, LLC

  • Anesthesiology Physician
  • Cumberland, MD
National Provider Identifier
1093512287
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MOUNTAIN MARYLAND ANESTHESIA SERVICES LLC
Doing business as
SurgCenter of Western Maryland, LLC
Practice address
12252 Williams Rd SE Ste 103
Cumberland, MD 21502-7988
Phone
(240) 522-0185
Fax
(240) 522-0186
NPI assigned
Feb 26, 2025
Last updated
Feb 26, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SURGCENTER OF WESTERN MARYLAND, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Raghu Reddy
Title
Cao
Phone
(240) 522-0185

Specialties & licenses 1

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

Addresses

Primary practice location

12252 Williams Rd SE Ste 103
Cumberland, MD 21502-7988

Mailing address

12252 Williams Rd SE Ste 103
Cumberland, MD 21502-7988
Phone (240) 522-0185

Other names 1

  • SurgCenter of Western Maryland, LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Surgcenter of Western Maryland LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1093512287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12252 WILLIAMS RD SE STE 103",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215027988",
            "telephone_number": "240-522-0185",
            "fax_number": "240-522-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12252 WILLIAMS RD SE STE 103",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215027988",
            "telephone_number": "240-522-0185",
            "fax_number": "240-522-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN MARYLAND ANESTHESIA SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SURGCENTER OF WESTERN MARYLAND, LLC",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "RAGHU",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "240-522-0185"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SurgCenter of Western Maryland, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.