Providence Anesthesia Associates, P.a.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

D0066706 Issued in MD

Legal business name

PROVIDENCE ANESTHESIA ASSOCIATES, P.A.

Practice address

6911 Laurel Bowie Rd
Suite 212
Bowie, MD 20715-1712

Phone

(301) 755-9500

NPI assigned

Jan 31, 2015

Organization subpart

No

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

Authorized official

Name

Joseph M Oppong Jr., M.D.

Title

Director/President

Phone

(301) 755-9500

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1422662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458950400000",
    "number": "1396135182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 LAUREL BOWIE RD",
            "address_2": "SUITE 212",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 LAUREL BOWIE RD",
            "address_2": "SUITE 212",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151712",
            "telephone_number": "301-755-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE ANESTHESIA ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-31",
        "last_updated": "2016-03-26",
        "status": "A",
        "authorized_official_last_name": "OPPONG",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "301-755-9500",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0066706",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "DC",
            "license": "MD039935",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2016; 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.