Active NPI
Anesthesia Services of Southern Maryland PA
- Specialist
- Camp Springs, MD
National Provider Identifier
1275776791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D12966388
- Legal business name
- ANESTHESIA SERVICES OF SOUTHERN MARYLAND PA
- Practice address
- 5801 Allentown Rd
Suite 502
Camp Springs, MD 20746 - Phone
- (240) 427-1760
- NPI assigned
- Apr 14, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Kristina M Cole
- Title
- Account Coordinator
- Phone
- (240) 427-1716
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D12966388 | MD | Primary |
Addresses
Primary practice location
5801 Allentown Rd
Suite 502
Camp Springs, MD 20746
Mailing address
11855 Holly Lane
Suite 101
Waldorf, MD 20601
National Provider Directory
National Provider DirectoryLocations
11855 Holly Ln
Ste 101
Waldorf, MD 20601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550448000000",
"number": "1275776791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11855 HOLLY LANE",
"address_2": "SUITE 101",
"city": "WALDORF",
"state": "MD",
"postal_code": "20601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 ALLENTOWN RD",
"address_2": "SUITE 502",
"city": "CAMP SPRINGS",
"state": "MD",
"postal_code": "20746",
"telephone_number": "240-427-1760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANESTHESIA SERVICES OF SOUTHERN MARYLAND PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-14",
"last_updated": "2019-02-18",
"status": "A",
"authorized_official_last_name": "COLE",
"authorized_official_first_name": "KRISTINA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ACCOUNT COORDINATOR",
"authorized_official_telephone_number": "240-427-1716",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MD",
"license": "D12966388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camp Springs, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.