Advanced Anesthesia, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

H35058 Issued in MD

Legal business name

ADVANCED ANESTHESIA, LLC

Practice address

8875 Centre Park Dr
Suite D
Columbia, MD 21045-2382

Phone

(410) 730-1000

NPI assigned

Jan 3, 2009

Last updated

Sep 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Russell O Schub, P.A.NPI 1679583587

Title

Medical Director

Phone

(410) 730-1000

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://51252f2e-8a78-46ff-b455-e688f2e6b977.gastro.prod.fhir.ema-api.com/fhir/r4/

Practitioners 1

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.

• Russell Owen Schub, D.O.

  • Gastroenterology Physician
  • Columbia, MD
  • NPI 1679583587
  NPD (past) Authorized official

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

{
    "created_epoch": "1230940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1194961730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8875 CENTRE PARK DR",
            "address_2": "SUITE D",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452382",
            "telephone_number": "410-730-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8875 CENTRE PARK DR",
            "address_2": "SUITE D",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452382",
            "telephone_number": "410-730-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-03",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "SCHUB",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "410-730-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "H35058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Columbia, MD
• Providers in Columbia, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.