NPIMap

Organization Active NPI

Rest Assured, P.a.

  • Certified Registered Nurse Anesthetist
  • Woodstock, MD
National Provider Identifier
1679679013
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R078185 Issued in MD
Legal business name
REST ASSURED, P.A.
Practice address
11010 Doxberry Cir
Woodstock, MD 21163-1499
Phone
(410) 961-6774
Fax
(443) 325-5954
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Mr. Christopher Alexander Romanowski, CRNANPI 1811093263
Title
President
Phone
(410) 961-6774

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
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X R078185 MD Primary

Addresses

Primary practice location

11010 Doxberry Cir
Woodstock, MD 21163-1499

Mailing address

11010 Doxberry Cir
Woodstock, MD 21163-1499
Phone (410) 961-6774

Other identifiers 1

IdentifierTypeStateIssuer
9415009 00MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050222000938 MD Part B Supplier - Clinic/Group Practice 2961455670 Receives reassigned benefits from 1 practitioner
Practice locations: Ellicott City, MD; Woodstock, MD

National Provider Directory

National Provider Directory

Locations

525 Amherst St
Winchester, VA 22601
Phone (336) 420-7472

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1679679013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11010 DOXBERRY CIR",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "211631499",
            "telephone_number": "410-961-6774",
            "fax_number": "443-325-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11010 DOXBERRY CIR",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "211631499",
            "telephone_number": "410-961-6774",
            "fax_number": "443-325-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REST ASSURED, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "ROMANOWSKI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-961-6774",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R078185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9415009  00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.