NPIMap

Organization Active NPI

Optimal Anesthesia LLC

  • Anesthesiology Physician
  • Frederick, MD
National Provider Identifier
1255888269
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
OPTIMAL ANESTHESIA LLC
Practice address
70 Thomas Johnson Dr Ste 120
Frederick, MD 21702-4317
Phone
(301) 624-5566
NPI assigned
Sep 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
David W KossoffNPI 1629152582
Title
MD/Member
Phone
(301) 775-7733

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 Primary

Addresses

Primary practice location

70 Thomas Johnson Dr Ste 120
Frederick, MD 21702-4317

Mailing address

PO Box 1973
Frederick, MD 21702-0973
Phone (941) 360-1566

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

70 Thomas Johnson Dr
Ste 120
Frederick, MD 21702
Phone (240) 575-9713

Practitioners & affiliated clinicians

Practitioners 1

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": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1255888269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1973",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217020973",
            "telephone_number": "941-360-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 THOMAS JOHNSON DR STE 120",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024317",
            "telephone_number": "301-624-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "KOSSOFF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MD/MEMBER",
        "authorized_official_telephone_number": "301-775-7733"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.