NPIMap

Organization Active NPI

Mercy Anesthesiology Associates, P.a.

  • Anesthesiology Physician
  • Baltimore, MD
National Provider Identifier
1245311307
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MERCY ANESTHESIOLOGY ASSOCIATES, P.A.
Practice address
341 N Calvert St
Lower Level
Baltimore, MD 21202-3633
Phone
(410) 659-0689
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Jung-in Lee, M.D.
Title
President
Phone
(410) 659-0689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

341 N Calvert St
Lower Level
Baltimore, MD 21202-3633

Mailing address

341 N Calvert St
Lower Level
Baltimore, MD 21202-3633
Phone (410) 659-0689

Other identifiers 4

IdentifierTypeStateIssuer
416515200MedicaidMD
009976700MedicaidMD
41012190MedicaidMD
416516100MedicaidMD

National Provider Directory

National Provider Directory

Locations

343 N Calvert St
#3
Baltimore, MD 21202
Phone (410) 659-0689

341 N Calvert St
Lowr
Baltimore, MD 21202
Phone (410) 659-0689

200 E Lexington St
Ste 907
Baltimore, MD 21202

Practitioners & affiliated clinicians

Practitioners 4

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1245311307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 N CALVERT ST",
            "address_2": "LOWER LEVEL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023633",
            "telephone_number": "410-659-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 N CALVERT ST",
            "address_2": "LOWER LEVEL",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023633",
            "telephone_number": "410-659-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY ANESTHESIOLOGY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JUNG-IN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-659-0689",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "416515200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009976700",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41012190",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "416516100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.