NPIMap

Organization Active NPI

Concordia Regional Pain Service, LLC

  • Anesthesiology Physician
  • Baltimore, MD
National Provider Identifier
1770913279
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CONCORDIA REGIONAL PAIN SERVICE, LLC
Practice address
2700 Lighthouse PT E
Baltimore, MD 21224-4777
Phone
(443) 599-4400
NPI assigned
Nov 19, 2013
Last updated
May 27, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
CONCORDIA ANESTHESIOLOGY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Jarrod Huey, MD
Title
Ceo
Phone
(404) 478-8785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X GA Primary

Addresses

Primary practice location

2700 Lighthouse PT E
Baltimore, MD 21224-4777

Mailing address

3475 Lenox Rd NE
Suite 655
Atlanta, GA 30326-3227
Phone (404) 478-8785

National Provider Directory

National Provider Directory
Part of
Concordia Anesthesiology Inc

Locations

3475 Lenox Rd NE
Ste 655
Atlanta, GA 30326

2700 Lighthouse Pt E
Baltimore, MD 21224
Phone (410) 963-2800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1770913279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 LENOX RD NE",
            "address_2": "SUITE 655",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303263227",
            "telephone_number": "404-478-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 LIGHTHOUSE PT E",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244777",
            "telephone_number": "443-599-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDIA REGIONAL PAIN SERVICE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONCORDIA ANESTHESIOLOGY, INC.",
        "enumeration_date": "2013-11-19",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "HUEY",
        "authorized_official_first_name": "JARROD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-478-8785",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.