Organization Active NPI

Commonwealth Anesthesia Group LLC

  • Anesthesiology Physician
  • Chantilly, VA
National Provider Identifier
1275838625
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
COMMONWEALTH ANESTHESIA GROUP LLC
Practice address
3914 Centreville Rd
Ste 350
Chantilly, VA 20151-3289
Phone
(941) 360-1566
Fax
(941) 358-9818
NPI assigned
Jan 17, 2011
Last updated
Mar 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Authorized official

Name
Lance Lasner, MD
Title
Member
Phone
(941) 360-1566

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

3914 Centreville Rd
Ste 350
Chantilly, VA 20151-3289

Mailing address

6094 14TH St W
Ste 168
Bradenton, FL 34207-4104
Phone (941) 360-1566

National Provider Directory

National Provider Directory

Locations

6094 14th St W
Ste 168
Bradenton, FL 34207

NPI Registry JSON

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

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1275838625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6094 14TH ST W",
            "address_2": "STE 168",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342074104",
            "telephone_number": "941-360-1566",
            "fax_number": "941-358-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 CENTREVILLE RD",
            "address_2": "STE 350",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513289",
            "telephone_number": "941-360-1566",
            "fax_number": "941-358-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH ANESTHESIA GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-17",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "LASNER",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "941-360-1566",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.