Active NPI
Stevenson Anesthesia, PA
- Anesthesiology Physician
- Towson, MD
National Provider Identifier
1104870633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- R059802
- Legal business name
- STEVENSON ANESTHESIA, PA
- Practice address
- 515 Fairmount Ave
Towson, MD 21286-5466 - Phone
- (410) 296-5300
- NPI assigned
- May 20, 2006
- 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
- Mrs. Barbara C Stevenson, CRNA
- Title
- President
- Phone
- (410) 819-0710
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | R059802 | MD | Primary |
Addresses
Primary practice location
515 Fairmount Ave
Towson, MD 21286-5466
Mailing address
29 Creamery LN
Easton, MD 21601-3137
Phone (410) 819-0710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 723M | Other | MD | MC GROUP |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Towson, MD
- NPI 1275516312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194825600000",
"number": "1104870633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 CREAMERY LN",
"city": "EASTON",
"state": "MD",
"postal_code": "216013137",
"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": "515 FAIRMOUNT AVE",
"city": "TOWSON",
"state": "MD",
"postal_code": "212865466",
"telephone_number": "410-296-5300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVENSON ANESTHESIA, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-20",
"last_updated": "2007-11-12",
"status": "A",
"authorized_official_last_name": "STEVENSON",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-819-0710",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "MD",
"license": "R059802",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MC GROUP",
"identifier": "723M",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.