NPIMap

Organization Active NPI

Midgard Anesthetics LLC Matthew Belzak Sole MBR

  • Medical-Surgical Registered Nurse
  • Easton, MD
National Provider Identifier
1306388897
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
0001206149 Issued in DC
Legal business name
MIDGARD ANESTHETICS LLC MATTHEW BELZAK SOLE MBR
Practice address
29466 Pintail Dr
Suite 8
Easton, MD 21601-9323
Phone
(800) 222-1335
Fax
(410) 819-0712
NPI assigned
Nov 15, 2016
Last updated
Nov 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Authorized official

Name
Mr. Matthew J Belzak, CRNA
Title
Sole Owner
Phone
(703) 862-5725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WM0705X 0001206149 DC Primary

Addresses

Primary practice location

29466 Pintail Dr
Suite 8
Easton, MD 21601-9323

Mailing address

1050 Connecticut Ave NW
Suite 500
Washington, DC 20036-5303
Phone (703) 862-5725

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1306388897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 CONNECTICUT AVE NW",
            "address_2": "SUITE 500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365303",
            "telephone_number": "703-862-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29466 PINTAIL DR",
            "address_2": "SUITE 8",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216019323",
            "telephone_number": "800-222-1335",
            "fax_number": "410-819-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDGARD ANESTHETICS LLC MATTHEW BELZAK SOLE MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "BELZAK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "703-862-5725",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "DC",
            "license": "0001206149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.