Organization Active NPI

Oak Anesthesia Associates Medical

  • Anesthesiology Physician
  • Chevy Chase, MD
National Provider Identifier
1699804914
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
OAK ANESTHESIA ASSOCIATES MEDICAL
Practice address
5530 Wisconsin Ave Ste 1455
Chevy Chase, MD 20815-4302
Phone
(805) 682-7222
Fax
(805) 687-7077
NPI assigned
Mar 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Mark Hestrin, M.DNPI 1417125600
Title
President
Phone
(310) 903-1980

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 Primary

Addresses

Primary practice location

5530 Wisconsin Ave Ste 1455
Chevy Chase, MD 20815-4302

Mailing address

PO Box 261070
Encino, CA 91426-1070
Phone (310) 903-1980

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240125001901 DC Part B Supplier - Clinic/Group Practice 4880744416 Receives reassigned benefits from 1 practitioner
Practice locations: Chevy Chase, MD; Greenbelt, MD; Rockville, MD

National Provider Directory

National Provider Directory

Locations

11400 Rockville Pike
Rockville, MD 20852
Phone (301) 330-2603

Practitioners & affiliated clinicians

Practitioners 1

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": "1172966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1699804914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261070",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914261070",
            "telephone_number": "310-903-1980",
            "fax_number": "818-880-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 1455",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154302",
            "telephone_number": "805-682-7222",
            "fax_number": "805-687-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK ANESTHESIA ASSOCIATES MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-04",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "HESTRIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-903-1980",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.