Organization Active NPI

Marked Anesthesia Care Inc

  • Anesthesiology Physician
  • Ijamsville, MD
National Provider Identifier
1356599385
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
R143174 Issued in MD
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

Updated by the provider on Sep 3, 2008

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.