C Boyd Anesthesia Services, PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

C BOYD ANESTHESIA SERVICES, PC

Practice address

1838 Greene Tree Rd
Suite 180
Baltimore, MD 21208-6391

Phone

(410) 602-7782

NPI assigned

Mar 21, 2008

Organization subpart

No

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

Authorized official

Name

Cassandra Letitia Boyd, CRNA

Title

President

Phone

(410) 799-5231

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1407027055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8190 TAMAR DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452894",
            "telephone_number": "443-629-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "SUITE 180",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212086391",
            "telephone_number": "410-602-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C BOYD ANESTHESIA SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "LETITIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-799-5231",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "369331700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE, FEDERAL",
            "identifier": "H9620001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "68733808",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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