Active NPI
Marked Anesthesia Care Inc
- Anesthesiology Physician
- Ijamsville, MD
National Provider Identifier
1356599385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- R143174
- Legal business name
- MARKED ANESTHESIA CARE INC
- Practice address
- 3280 Urbana Pike Ste 104
Ijamsville, MD 21754-9411 - Phone
- (240) 436-6440
- Fax
- (301) 317-0028
- NPI assigned
- Sep 3, 2008
- 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
- Marcos S Faltamo, CRNA
- Title
- President
- Phone
- (301) 317-0020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | R143174 | MD | Primary |
Addresses
Primary practice location
3280 Urbana Pike Ste 104
Ijamsville, MD 21754-9411
Mailing address
3640 Lyons Creek Rd
Dunkirk, MD 20754-9278
National Provider Directory
National Provider Directory- Tax ID family
- Marked Anesthesia Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Certified Registered Nurse Anesthetist
- Clinton, MD
- NPI 1417134263
Locations
3280 Urbana Pike
Ste 104
Ijamsville, MD 21754
Phone (240) 436-6440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220400000000",
"number": "1356599385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3640 LYONS CREEK RD",
"city": "DUNKIRK",
"state": "MD",
"postal_code": "207549278",
"fax_number": "301-317-0028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3280 URBANA PIKE STE 104",
"city": "IJAMSVILLE",
"state": "MD",
"postal_code": "217549411",
"telephone_number": "240-436-6440",
"fax_number": "301-317-0028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARKED ANESTHESIA CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-03",
"last_updated": "2008-09-03",
"status": "A",
"authorized_official_last_name": "FALTAMO",
"authorized_official_first_name": "MARCOS",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-317-0020",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "MD",
"license": "R143174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ijamsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.