Organization Active NPI

Integrax, LLC

  • Anesthesiology Physician
  • Easton, MD
National Provider Identifier
1841405859
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0055412 Issued in MD
Legal business name
INTEGRAX, LLC
Practice address
9 Londonderry Dr
Easton, MD 21601-2537
Phone
(410) 822-0695
Fax
(410) 548-9384
NPI assigned
May 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Dr. Y R Ding, MDNPI 1538141510
Title
Director
Phone
(410) 822-0695

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X D0055412 MD Primary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LP2900X D0055412 MD

Addresses

Primary practice location

9 Londonderry Dr
Easton, MD 21601-2537

Mailing address

9 Londonderry Dr
Easton, MD 21601-2537
Phone (410) 822-0695

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040518000246 MD Part B Supplier - Clinic/Group Practice 8628068749 Receives reassigned benefits from 2 practitioners
Practice locations: Easton, MD

National Provider Directory

National Provider Directory

Locations

29466 Pintail Dr
Ste 14
Easton, MD 21601
Phone (410) 822-0695

522 Cynwood Dr
Ste 400
Easton, MD 21601
Phone (410) 822-5600

Practitioners & affiliated clinicians

Practitioners 2

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": "1178928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1841405859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LONDONDERRY DR",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216012537",
            "telephone_number": "410-822-0695",
            "fax_number": "410-548-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LONDONDERRY DR",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216012537",
            "telephone_number": "410-822-0695",
            "fax_number": "410-548-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-12",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "DING",
        "authorized_official_first_name": "Y",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-822-0695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0055412",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "D0055412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.