MLM Anesthesia LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MLM ANESTHESIA LLC

Practice address

12205 Tullamore Rd
Timonium, MD 21093-7816

Phone

(410) 308-4701

NPI assigned

Jan 24, 2020

Last updated

Jan 24, 2020By 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

Ms. Michelle MoylanNPI 1043267115

Title

Crna

Phone

(410) 703-1111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

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.

• Michelle Lee Moylan, CRNA

  • Certified Registered Nurse Anesthetist
  • Queenstown, MD
  • NPI 1043267115
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1366072605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 WYE HARBOR DR",
            "city": "QUEENSTOWN",
            "state": "MD",
            "postal_code": "216581638",
            "telephone_number": "410-703-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12205 TULLAMORE RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210937816",
            "telephone_number": "410-308-4701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12205 Tullamore Rd",
            "address_purpose": "LOCATION",
            "city": "Timonium",
            "state": "MD",
            "postal_code": "210937816",
            "country_code": "US",
            "telephone_number": "410-308-4701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MLM ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "MOYLAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "410-703-1111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid-Atlantic Sleep Solutions, LLC
• Elaine Mary Miginsky, D.D.S.
• Samantha Miller
• Robert Mills, D.O.
• Jeffrey R Mindel, MD
• Deezya Julianna Monroe
• Dawn Montague-Joseph, LCSW-C
• Morgan Metro Maryland Counseling Ctr
• Doris A Morgan, PHD
• Mosaic Community Services

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.