Mac Anesthesia Associates PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MAC ANESTHESIA ASSOCIATES PLLC

Practice address

473 Moon Ridge LN
Winchester, VA 22603-3584

Phone

(540) 327-9067

Fax

(540) 667-9171

NPI assigned

Nov 20, 2012

Organization subpart

No

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

Authorized official

Name

Wagdy A Bagous, MD

Title

Group President/Owner

Phone

(540) 327-9067

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1821332487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 MOON RIDGE LN",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226033584",
            "telephone_number": "540-327-9067",
            "fax_number": "540-667-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAC ANESTHESIA ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "BAGOUS",
        "authorized_official_first_name": "WAGDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "GROUP PRESIDENT/OWNER",
        "authorized_official_telephone_number": "540-327-9067",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Jane Whitlow Lyness, MD
• Jeffrey D Lynn, OD
• Caitlin Victoria Lyon, MSW, LICSW
• Lisa A. Lyons, MD
• Paul D Lyons, MD PHD
• Susan Macdonald, LPC
• Elaine C Macdougall, MD
• Anne Marie Mackin, PT
• Michelle Madden
• Whitney L Maddox, LPC

• Anesthesiology Physician in Winchester, VA
• Providers in Winchester, VA by specialty
• Anesthesiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.