Organization Active NPI

Mobile Anesthesia Clinical Services, Inc, PC

Doing business as MACS, Inc, PC

  • Pain Medicine (Anesthesiology) Physician
  • Great Falls, VA
National Provider Identifier
1508037805
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
0101039828 Issued in VA
Legal business name
MOBILE ANESTHESIA CLINICAL SERVICES, INC, PC
Doing business as
MACS, Inc, PC
Practice address
507 Springvale Rd
Great Falls, VA 22066-3424
Phone
(703) 759-3630
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Dr. Carlton Q Brown, MD
Title
President
Phone
(703) 759-3630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 0101039828 VA Primary

Addresses

Primary practice location

507 Springvale Rd
Great Falls, VA 22066-3424

Mailing address

507 Springvale Rd
Great Falls, VA 22066-3424

Other identifiers 1

IdentifierTypeStateIssuer
G01730OtherMEDICARE GROUP NUMBER

Other names 1

  • MACS, Inc, PC Doing business as

National Provider Directory

National Provider Directory

Locations

131 Elden St
Ste 301
Herndon, VA 20170
Phone (703) 759-3630

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1508037805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 SPRINGVALE RD",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220663424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 SPRINGVALE RD",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220663424",
            "telephone_number": "703-759-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE ANESTHESIA CLINICAL SERVICES, INC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CARLTON",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-759-3630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "VA",
            "license": "0101039828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "G01730",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MACS, Inc, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Great Falls, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.