Anexa Anesthesia Services, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

ANEXA ANESTHESIA SERVICES, LLC

Practice address

6020 Meadowridge Center Dr
Elkridge, MD 21075-6528

Phone

(443) 275-7800

NPI assigned

Jul 22, 2026

Organization subpart

No

Name

Gregory Robert Detore, MD

Title

Ceo

Phone

(916) 599-6337

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 22, 2026.

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1114848587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 HEAVEN WOOD CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 MEADOWRIDGE CENTER DR",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756528",
            "telephone_number": "443-275-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANEXA ANESTHESIA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "DETORE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-599-6337",
        "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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• All providers in Elkridge, MD
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.