NPIMap

Organization Active NPI

Magnolia State Anesthesia Services, PLLC

  • Anesthesiology Physician
  • Pascagoula, MS
National Provider Identifier
1962279711
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MAGNOLIA STATE ANESTHESIA SERVICES, PLLC
Practice address
2406 Catalpa Ave
Pascagoula, MS 39567-1813
Phone
(228) 202-1006
Fax
(334) 239-7654
NPI assigned
Dec 11, 2023
Last updated
Dec 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Samir SSN Tomajian, MDNPI 1275705949
Title
Owner/President
Phone
(713) 530-3899

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

2406 Catalpa Ave
Pascagoula, MS 39567-1813

Mailing address

7956 Vaughn Rd Ste 165
Montgomery, AL 36116-6819
Phone (228) 202-1006

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1962279711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7956 VAUGHN RD STE 165",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361166819",
            "telephone_number": "228-202-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 CATALPA AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395671813",
            "telephone_number": "228-202-1006",
            "fax_number": "334-239-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA STATE ANESTHESIA SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "TOMAJIAN",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "SSN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "713-530-3899",
        "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": []
}

Other providers in Pascagoula, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.