Organization Active NPI

Anesthesia Services of Southern Maryland PA

  • Specialist
  • Camp Springs, MD
National Provider Identifier
1275776791
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D12966388 Issued in MD
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

Updated by the provider on Feb 18, 2019

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.