Active NPI
MJD Anesthesia PLLC
- Certified Registered Nurse Anesthetist
- Pharr, TX
National Provider Identifier
1700637121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- MJD ANESTHESIA PLLC
- Practice address
- 1305 W Park Dr
Pharr, TX 78577-2366 - Phone
- (845) 313-0882
- NPI assigned
- Apr 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Dinos, CRNA
- Title
- Sole MBR
- Phone
- (845) 313-0882
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
1305 W Park Dr
Pharr, TX 78577-2366
Mailing address
PO Box 6696
Corpus Christi, TX 78466-6696
Phone (361) 985-1221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9150 Huebner Rd
Ste 280
San Antonio, TX 78240
Phone (210) 225-5666
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Harlingen, TX
- NPI 1467932145
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Edinburg, TX
- NPI 1194233700
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718236800000",
"number": "1700637121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6696",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784666696",
"telephone_number": "361-985-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 W PARK DR",
"city": "PHARR",
"state": "TX",
"postal_code": "785772366",
"telephone_number": "845-313-0882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MJD ANESTHESIA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-01",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A",
"authorized_official_last_name": "DINOS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "SOLE MBR",
"authorized_official_telephone_number": "845-313-0882",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pharr, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.