Active NPI
Commonwealth Anesthesia Group LLC
- Anesthesiology Physician
- Chantilly, VA
National Provider Identifier
1275838625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- 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, 2014
- 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
- Lance Lasner, MD
- Title
- Member
- Phone
- (941) 360-1566
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.