MJM Anesthesia ,LLC
Organization Active NPI Anesthesiology Physician · Cabin John, MD
NPI 1144760760 · NPPES record last updated Jun 4, 2024
Key facts
- NPI
- 1144760760
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- R147286 (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
- Organization subpart
- No
Authorized official
- Name
- Heather Dailey, CRNA
- Title
- President
- Phone
- (202) 964-1160
Corporate family (same tax ID) 9
Practitioners 11
-
Heather Gail Dailey, CRNA
-
Bruce Allen Herr Jr., CRNA
-
Paula Shipman-Roberts, CRNA
-
Elizabeth Achin, CRNA
-
Sarah Naomi Bresler, CRNA
-
Laura Jeanne Kemp, CRNA
-
Tammika Renee Thompson, CRNA
-
Lauren Elizabeth Kowal, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Tax ID family
- MJM Anesthesia LLC
Locations
7945 MacArthur Blvd
Cabin John, MD 20818
Phone (202) 964-1161
7945 MacArthur Blvd
Ste 101235
Cabin John, MD 20818
Phone (202) 964-1160
7945 MacArthur Blvd
#101235
Cabin John, MD 20818
Phone (202) 964-1160
4302 Saint Barnabas Rd
Temple Hills, MD 20748
Phone (301) 423-9494
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | R147286 | MD | Yes |
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
Other providers in Cabin John, MD
- Nathan Luongo
- Sienna Monagan Lyon
- Megan Lee Marquier-Schacht
- Gabriel Martinez
- Ilene Marto Atiyah
- MLM Anesthesia LLC
- Moco Wellness
- Doreen Moreira
- Melissa Myers
- Jennifer E Olson
All providers in Cabin John, MD · Anesthesiology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.