NPIMap

Organization Active NPI

Corridor Anesthesia, L.L.C.

  • Certified Registered Nurse Anesthetist
  • Laurel, MD
National Provider Identifier
1720053887
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
CORRIDOR ANESTHESIA, L.L.C.
Practice address
7350 Van Dusen Rd
Suite 230
Laurel, MD 20707-5263
Phone
(301) 498-5500
Fax
(301) 498-7346
NPI assigned
Feb 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Authorized official

Name
Ms. Georgia Galie
Title
Business Manager
Phone
(301) 498-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

7350 Van Dusen Rd
Suite 230
Laurel, MD 20707-5263

Mailing address

7350 Van Dusen Rd
Suite 250
Laurel, MD 20707-5263
Phone (301) 498-5500

Other identifiers 4

IdentifierTypeStateIssuer
167CCOOtherMDCAREFIRST BSMD
DE6588OtherMDRAILROAD MEDICARE
409316000MedicaidMD
K761OtherDCCAREFIRST BSDC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050827000142 DC Part B Supplier - Clinic/Group Practice 0941231153 Receives reassigned benefits from 39 practitioners
Practice locations: Laurel, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1720053887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 VAN DUSEN RD",
            "address_2": "SUITE 250",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075263",
            "telephone_number": "301-498-5500",
            "fax_number": "301-498-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 VAN DUSEN RD",
            "address_2": "SUITE 230",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075263",
            "telephone_number": "301-498-5500",
            "fax_number": "301-498-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRIDOR ANESTHESIA, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "GALIE",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "301-498-5500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BSMD",
            "identifier": "167CCO",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE6588",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409316000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BSDC",
            "identifier": "K761",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.