NPIMap

Organization Active NPI

Cumberland Anesthesia

  • Registered Nurse
  • Cumberland, MD
National Provider Identifier
1124425699
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
CUMBERLAND ANESTHESIA
Practice address
115 Baltimore St
Suite 200
Cumberland, MD 21502-2301
Phone
(301) 723-4965
Fax
(301) 723-4983
NPI assigned
Dec 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
Gerald Goldstein, MD, CEO
Title
Ceo
Phone
(301) 723-4965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

115 Baltimore St
Suite 200
Cumberland, MD 21502-2301

Mailing address

115 Baltimore St
Suite 200
Cumberland, MD 21502-2301
Phone (301) 723-4965

National Provider Directory

National Provider Directory
Tax ID family
Cumberland Anesthesia2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

115 Baltimore St
Ste 200
Cumberland, MD 21502
Phone (301) 723-4965

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1124425699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BALTIMORE ST",
            "address_2": "SUITE 200",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022301",
            "telephone_number": "301-723-4965",
            "fax_number": "301-723-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BALTIMORE ST",
            "address_2": "SUITE 200",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022301",
            "telephone_number": "301-723-4965",
            "fax_number": "301-723-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-723-4965",
        "authorized_official_credential": "MD, CEO"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 1, 2014; 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.