Active NPI
Outpatient Anesthesia Services of Reston, LTD
- Anesthesiology Physician
- Reston, VA
National Provider Identifier
1376654434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0632910
- Legal business name
- OUTPATIENT ANESTHESIA SERVICES OF RESTON, LTD
- Practice address
- 1860 Town Center Dr # 100
Reston, VA 20190-5896 - Phone
- (703) 471-0919
- Fax
- (703) 742-9081
- NPI assigned
- Aug 31, 2006
- Last updated
- Sep 17, 2020
- 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
- Tammy Sparks-Jenet, M.D.
- Title
- President
- Phone
- (703) 471-0919
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 0632910 | VA | Primary |
Addresses
Primary practice location
1860 Town Center Dr # 100
Reston, VA 20190-5896
Mailing address
PO Box 2699
Reston, VA 20195-0699
Phone (703) 471-0919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1860 Town Center Dr
#100
Reston, VA 20190
Practitioners & affiliated clinicians
Practitioners 123
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600300800000",
"number": "1376654434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2699",
"city": "RESTON",
"state": "VA",
"postal_code": "201950699",
"telephone_number": "703-471-0919",
"fax_number": "703-742-9081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 TOWN CENTER DR # 100",
"city": "RESTON",
"state": "VA",
"postal_code": "201905896",
"telephone_number": "703-471-0919",
"fax_number": "703-742-9081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUTPATIENT ANESTHESIA SERVICES OF RESTON, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2020-09-17",
"certification_date": "2020-08-25",
"status": "A",
"authorized_official_last_name": "SPARKS-JENET",
"authorized_official_first_name": "TAMMY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-471-0919",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "VA",
"license": "0632910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.