Gary Phelps, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R130008 Issued in MD

Practice address

2411 W Belvedere Ave
Mid Atlantic Neuro Associates
Baltimore, MD 21215-5228

Phone

(410) 601-8314

NPI assigned

Aug 11, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gary W Phelps Crna Inc

  • Certified Registered Nurse Anesthetist
  • Balto, MD
  • NPI 1093993990

  Nurse Anesthetist, Certified Registered

  NPD (past) Authorized official
• Lifebridge Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Randallstown, MD
  • NPI 1003992868

  Nurse Anesthetist, Certified Registered

  NPD (past)
• North American Partners in Anesthesia Maryland LLC

  • Anesthesiology Physician
  • Prince Frederick, MD
  • NPI 1093707879
  NPD (past)
• Outpatient Anesthesia Services PC

  • Anesthesiology Physician
  • Owings Mills, MD
  • NPI 1548200975
  NPD (past)

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1689676462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10508 CHESHAM WAY",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "211631364",
            "telephone_number": "410-465-2449",
            "fax_number": "410-465-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 W BELVEDERE AVE",
            "address_2": "MID ATLANTIC NEURO ASSOCIATES",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155228",
            "telephone_number": "410-601-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "GARY",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R130008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "649100600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phase One Recovery House
• Phase Two Recovery
• Swati D Phatak, MD
• Michael W. Phelan, M.D.
• Deanna Louise Phelps, LCSW-C
• Jonathan Martin Phelps
• Lauren Pamela Phelps, RN
• Matthew Charles Phelps, LMSW
• Michael Alan Phelps, MD
• Molly Phelps, LCSW-C

• Certified Registered Nurse Anesthetist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Certified Registered Nurse Anesthetist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.