Windbrook Anesthesia LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

WINDBROOK ANESTHESIA LLC

Practice address

10212 Governor Lane Blvd
Suite 1004
Williamsport, MD 21795-4086

Phone

(301) 733-4200

Fax

(301) 223-7121

NPI assigned

Apr 15, 2016

Last updated

Aug 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Trevan, MDNPI 1659313831

Title

Owner

Phone

(301) 733-4200

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Lisa Trevan, M.D.

  • Anesthesiology Physician
  • Williamsport, MD
  • NPI 1659313831
  Authorized official Same address or phone

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1912351933",
    "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": "10212 GOVERNOR LANE BLVD",
            "address_2": "SUITE 1004",
            "city": "WILLIAMSPORT",
            "state": "MD",
            "postal_code": "217954086",
            "telephone_number": "301-733-4200",
            "fax_number": "301-223-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDBROOK ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "TREVAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-733-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makeisha Washington, OTR
• Hannah Williams, CCC/SLP
• Williamsport Operator LLC
• Williamsport Volunteer Ambulance SVC, Inc.
• Williamsport Volunteer Fire and Emergency Medical Services, Inc.
• Jamie Clare Worsley, D.O

• Anesthesiology Physician in Williamsport, MD
• Providers in Williamsport, MD by specialty
• Anesthesiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.