Manassas Surgery Center Anesthesia Services, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MANASSAS SURGERY CENTER ANESTHESIA SERVICES, LLC

Practice address

8409 Dorsey Cir
Suite 101
Manassas, VA 20110-8305

Phone

(703) 580-0181

Fax

(703) 897-8763

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marc E. Koch, M.D.

Title

President & Ceo

Phone

(914) 637-3511

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert C. Goldstein, M.D.

  • Anesthesiology Physician
  • New Rochelle, NY
  • NPI 1245221589
  NPD (past)

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1548443153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COMMERCE DR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015214",
            "telephone_number": "914-637-3510",
            "fax_number": "914-819-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8409 DORSEY CIR",
            "address_2": "SUITE 101",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108305",
            "telephone_number": "703-580-0181",
            "fax_number": "703-897-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANASSAS SURGERY CENTER ANESTHESIA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "914-637-3511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "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": "1548443153",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manassas Optometry, LLC (My Eye Dr.)
• Manassas Pediatrics LTD
• Manassas Pharmacy
• Manassas Primary Care, LLC
• Manassas Spine & Sport PC
• Manassas Wellness Center
• Veena Rao Mandal, MBBS
• Anup Kang Manes, ANP
• Amber C Maney, BCBA
• Cathy Elaine Mangan

• Anesthesiology Physician in Manassas, VA
• Providers in Manassas, VA by specialty
• Anesthesiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.