Meridian Anesthesia Services, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

D0051726 Issued in MD

Legal business name

MERIDIAN ANESTHESIA SERVICES, LLC

Practice address

11370 Pembrooke SQ
Waldorf, MD 20603-4842

Phone

(410) 610-3608

NPI assigned

Feb 25, 2010

Organization subpart

No

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

Authorized official

Name

Ralph W Torr, M.D.

Title

Director of Services

Phone

(410) 610-3608

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1275855637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7590 N FLINT HILL RD",
            "city": "OWINGS",
            "state": "MD",
            "postal_code": "207364318",
            "telephone_number": "410-610-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11370 PEMBROOKE SQ",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034842",
            "telephone_number": "410-610-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN ANESTHESIA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "TORR",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR OF SERVICES",
        "authorized_official_telephone_number": "410-610-3608",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0051726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "976390200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.