Individual provider Active NPI

Jan Gaspar

  • Certified Registered Nurse Anesthetist
  • Baltimore, MD
National Provider Identifier
1275048332
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
PENDING Issued in MD
Practice address
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Phone
(410) 601-9000
NPI assigned
Dec 11, 2017
Last updated
Dec 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X PENDING MD Primary

Addresses

Primary practice location

2401 W Belvedere Ave
Baltimore, MD 21215-5216

Mailing address

4627 Autumn Woods Way
Ellicott City, MD 21043-6771
Phone (213) 663-3860

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180313001554 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335401280 Reassigns benefits to 5 organizations
I20210715000050 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335401280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Georgetown University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifebridge Anesthesia Associates LLCGroup PAC ID 2062514888, 109 clinicians

Practice addresses (Care Compare)

2401 E Belvedere Ave
Baltimore, MD 21215-5216
Phone 80051653155104

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
PENDINGMDMDCritical Care Pediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2023 Accepting new patients
North American Partners in Anesthesia Maryland LLC CurrentSince Jan 21, 2018 Accepting new patients
Capital Care Anesthesia LLC CurrentSince Jun 24, 2021 Accepting new patients
North Calvert Anesthesiology Services LLC CurrentSince Apr 14, 2022 Accepting new patients
Center for Pain Management, LLC CurrentSince Feb 6, 2020 Accepting new patients
Capital Care Anesthesia LLC Past Accepting new patients

Locations

116 Defense Hwy
Ste 403
Annapolis, MD 21401
Phone (410) 671-2941

2401 W Belvedere Ave
Baltimore, MD 21215

14999 Health Center Dr
Ste 103
Bowie, MD 20716
Phone (301) 262-5511

1150 Professional Ct
Ste P
Hagerstown, MD 21740
Phone (301) 665-9696

9 Park Center Ct
Ste 100
Owings Mills, MD 21117
Phone (410) 205-7667

1838 Greene Tree Rd
Pikesville, MD 21208
Phone (410) 486-8106

1838 Greene Tree Rd
Ste 150
Pikesville, MD 21208
Phone (301) 881-7246

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

120 Sallitt Dr
#D
Stevensville, MD 21666
Phone (410) 923-2714

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1275048332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4627 AUTUMN WOODS WAY",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436771",
            "telephone_number": "213-663-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASPAR",
        "first_name": "JAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.