NPIMap

Organization Active NPI

Mid-Maryland Anesthesia LLC

  • Anesthesiology Physician
  • Frederick, MD
National Provider Identifier
1669866489
Registry record updated Apr 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0061884 Issued in MD
Legal business name
MID-MARYLAND ANESTHESIA LLC
Practice address
85 Thomas Johnson CT
Suite C
Frederick, MD 21702-4331
Phone
(301) 663-9440
Fax
(301) 663-4602
NPI assigned
Mar 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2015

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

Authorized official

Name
Leonard E Kane, M.D.NPI 1588653786
Title
Owner/Physician
Phone
(301) 663-9440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X D0061884 MD Primary

Addresses

Primary practice location

85 Thomas Johnson CT
Suite C
Frederick, MD 21702-4331

Mailing address

85 Thomas Johnson CT
Suite C
Frederick, MD 21702-4331
Phone (301) 663-9440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150501000734 MD Part B Supplier - Clinic/Group Practice 5890014542 Receives reassigned benefits from 17 practitioners
Practice locations: Frederick, MD

National Provider Directory

National Provider Directory

Locations

85 Thomas Johnson Ct
Ste C
Frederick, MD 21702
Phone (301) 663-9440

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429920000000",
    "number": "1669866489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 THOMAS JOHNSON CT",
            "address_2": "SUITE C",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024331",
            "telephone_number": "301-663-9440",
            "fax_number": "301-663-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 THOMAS JOHNSON CT",
            "address_2": "SUITE C",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024331",
            "telephone_number": "301-663-9440",
            "fax_number": "301-663-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MARYLAND ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-04-25",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "301-663-9440",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0061884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2015; 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.

Verify at the official NPI Registry.