Waldorf Anesthesia Services LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

WALDORF ANESTHESIA SERVICES LLC

Practice address

3510 Old Washington Rd
Ste 200
Waldorf, MD 20602-3233

Phone

(301) 861-3660

Fax

(301) 843-5184

NPI assigned

Apr 8, 2016

Last updated

Apr 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joseph R. Murphy

Title

Member

Phone

(941) 360-1566

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Badriya Yasmeen Dowe, CRNA

  • Certified Registered Nurse Anesthetist
  • Waldorf, MD
  • NPI 1477188241

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Rodney Laster, M.D

  • Anesthesiology Physician
  • Randallstown, MD
  • NPI 1841296415
  Medicare reassignment NPD
• Angela Patrice Pettis, CRNA

  • Certified Registered Nurse Anesthetist
  • Andrews AFB, MD
  • NPI 1649457706

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Mina Nakbeen, MD

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1962417832

  MD

  Medicare reassignment NPD
• Lindsay Marsh Warren, MD

  • Anesthesiology Physician
  • Arlington, VA
  • NPI 1588771521

  MD

  Medicare reassignment NPD
• Brook Gebeyehu, MD

  • Anesthesiology Physician
  • Clinton, MD
  • NPI 1942370150
  Medicare reassignment
• Renny Griffith, M.D.

  • Anesthesiology Physician
  • Clinton, MD
  • NPI 1326143330
  Medicare reassignment
• Charles Churlmin Lee, MD

  • Anesthesiology Physician
  • Fort Meade, MD
  • NPI 1821143538
  Medicare reassignment
• April Lynn Myers, CRNA

  • Certified Registered Nurse Anesthetist
  • La Plata, MD
  • NPI 1972877140
  Medicare reassignment
• Patrick O Fasusi, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Washington, DC
  • NPI 1952473092

  MD

  Medicare reassignment
• David J Holliday, MD

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1205904356

  MD

  Medicare reassignment
• Melody A Garrett, MD

  • Anesthesiology Physician
  • Clinton, MD
  • NPI 1699753145
  NPD

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1295199925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826894",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191826894",
            "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": "3510 OLD WASHINGTON RD",
            "address_2": "STE 200",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023233",
            "telephone_number": "301-861-3660",
            "fax_number": "301-843-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDORF ANESTHESIA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "941-360-1566",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalena Heard Wade, PH.D.
• Matthew Wadler, OT
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1717)
• Wal-Mart Stores East, LP (Vision Center 30-1717)
• Walden Sierra Corp
• Waldorf Family and Cosmetic Dentistry
• Waldorf Oral Surgery LLC
• Waldorf Pain & Rehabilitation Center, LLC
• Waldorf Primary Care LLC
• Waldorf SNF Operations LLC (Waldorf Center)

• Anesthesiology Physician in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Anesthesiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.