NPIMap

Organization Active NPI

MJM Anesthesia ,LLC

  • Anesthesiology Physician
  • Cabin John, MD
National Provider Identifier
1144760760
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
R147286 Issued in MD
Legal business name
MJM ANESTHESIA ,LLC
Practice address
7945 Macarthur Blvd # 101-235
Cabin John, MD 20818-0235
Phone
(202) 964-1160
NPI assigned
Mar 1, 2017
Last updated
Jun 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Heather Dailey, CRNANPI 1184946238
Title
President
Phone
(202) 964-1160

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X R147286 MD Primary

Addresses

Primary practice location

7945 Macarthur Blvd # 101-235
Cabin John, MD 20818-0235

Mailing address

7945 Macarthur Blvd
#101-235
Cabin John, MD 20818-0235
Phone (202) 964-1160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170619001952 MD Part B Supplier - Clinic/Group Practice 4789952615 Receives reassigned benefits from 3 practitioners
Practice locations: Annapolis, MD; Cabin John, MD
O20170911000572 DC Part B Supplier - Clinic/Group Practice 4789952615 Receives reassigned benefits from 10 practitioners
Practice locations: Washington, DC; Silver Spring, MD; Marlow Heights, MD; Laurel, MD; Greenbelt, MD; Hyattsville, MD; Cabin John, MD; Gaithersburg, MD…

National Provider Directory

National Provider Directory
Tax ID family
MJM Anesthesia LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

7945 MacArthur Blvd
Cabin John, MD 20818
Phone (202) 964-1161

7945 MacArthur Blvd
#101235
Cabin John, MD 20818
Phone (202) 964-1160

7945 MacArthur Blvd
Ste 101235
Cabin John, MD 20818
Phone (202) 964-1160

6505 Belcrest Rd
Ste 1
Hyattsville, MD 20782
Phone (202) 964-1160

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1144760760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7945 MACARTHUR BLVD",
            "address_2": "#101-235",
            "city": "CABIN JOHN",
            "state": "MD",
            "postal_code": "208180235",
            "telephone_number": "202-964-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7945 MACARTHUR BLVD # 101-235",
            "city": "CABIN JOHN",
            "state": "MD",
            "postal_code": "208180235",
            "telephone_number": "202-964-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJM ANESTHESIA ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "DAILEY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-964-1160",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "R147286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabin John, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.