NPIMap

Organization Active NPI

Maryland Mobile Anesthesia Services Inc

  • Registered Nurse
  • Clarksville, MD
National Provider Identifier
1346297868
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R059251 Issued in MD
Legal business name
MARYLAND MOBILE ANESTHESIA SERVICES INC
Practice address
11202 Old Hopkins Rd
Clarksville, MD 21029-1844
Phone
(410) 409-8305
NPI assigned
May 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Mr. Glenn R. Mekelburg, CRNA
Title
Director
Phone
(410) 409-8305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X R059251 MD Primary

Addresses

Primary practice location

11202 Old Hopkins Rd
Clarksville, MD 21029-1844

Mailing address

11202 Old Hopkins Rd
Clarksville, MD 21029-1844
Phone (410) 409-8305

National Provider Directory

National Provider Directory

Locations

8139 Harford Rd
Baltimore, MD 21401
Phone (410) 224-4448

7525 Greenway Center Dr
Ste 1
Greenbelt, MD 20770
Phone (301) 345-4087

3801 International Dr
Silver Spring, MD 20906
Phone (301) 598-0130

NPI Registry JSON

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

{
    "created_epoch": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1346297868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11202 OLD HOPKINS RD",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291844",
            "telephone_number": "410-409-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11202 OLD HOPKINS RD",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291844",
            "telephone_number": "410-409-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND MOBILE ANESTHESIA SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-29",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "MEKELBURG",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-409-8305",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R059251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.