ENDOSEDATION LLC (NPI# 1891286597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891286597 |
| Entity Type | Organization |
| Organization Name | ENDOSEDATION LLC |
| Practice Address |
12200 Annapolis Rd Ste 220 Glenn Dale MD 20769-9182 |
| Practice Telephone | 2404912344 |
| Practice Fax Number | 3016992293 |
| Mailing Telephone | 2404912344 |
| Mailing Fax Number | 3016992293 |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |
| Authorized Official Name | MR. MICHAEL H. BLAIR (CEO) |
| Authorized Official Telephone | 2404912344 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
12200 ANNAPOLIS RD STE 220 |
| City | GLENN DALE |
| State | MD |
| Zip Code | 20769-9182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023585676 | Ifeoma C Onyeiwu | Nurse Practitioner | Krystal Medical Associates, 12150 Annapolis Rd, Suite 100, Glenndale, MD 20769 | 2018-10-31 |
| 1124593983 | Olivia Kaindaneh | Technician | 10809 Glandshire Dr, Glandale, MD 20769 | 2018-10-09 |
| 1154810505 | Cassie Leghu | Home Health Aide | 5108 Janesdale Court, Glenn Dale, MD 20769 | 2018-05-01 |
| 1033659164 | Eternal Dermatology and Aesthetic Center LLC | Dermatology | 12150 Annapolis Rd Ste 213, Glenn Dale, MD 20769 | 2017-03-08 |
| 1881957934 | Angela Teresa Dudley Hamilton | Counselor | 11415 Old Pond Drive, Glenn Dale, MD 20769 | 2012-06-22 |
| 1144597923 | Jaj Health Care Services,llc | Clinical Nurse Specialist | 12150 Annapolis Rd # 205, Glenndale, MD 20769 | 2011-11-22 |
| 1831493030 | Evidence Physical Therapy, LLC | Physical Therapist | 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 | 2011-01-03 |
| 1972731867 | Linh Nguyen | Pharmacist | 10831 Lanham Severn Rd, Glenn Dale, MD 20769 | 2009-06-30 |
| 1417141557 | Sharon Evette Hawks | Nutritionist | 12150 Annapolis Rd., Ste. 104, Glenn Dale, MD 20769 | 2007-08-31 |
| 1871715441 | Beth S Warner | Psychologist | 1107 Shoemaker Bldg., U. of Md Counseling Center, Glenn Dale, MD 20769 | 2007-05-03 |
| Find all providers in zip 20769 | ||||
| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558704064 | Sinead Nyhan | Anesthesiology | 1800 Orleans St # 9127, Baltimore, MD 21287-0010 | 2013-04-15 |
| 1881983534 | Curtis Charles Copeland | Anesthesiology | 22 S Greene St T4m14, Baltimore, MD 21202-1544 | 2011-04-04 |
| 1730484999 | Blake Paterson | Anesthesiology | Jhu Dept Anesthesiology and Critical Care, 600 N. Wolfe Street, Blalock 1408, Baltimore, MD 21287-0001 | 2011-01-20 |
| 1144530437 | Abha Sinha | Anesthesiology | 9633 Eagle Ridge Dr, Bethesda, MD 20817-3920 | 2010-10-20 |
| 1649594458 | Christopher Columbus Chapman | Anesthesiology | 800 Falls Lake Dr, Mitchellville, MD 20721-3160 | 2010-03-23 |
| 1689801292 | Kathleen Michelle Tyson | Anesthesiology | 1800 Orleans St # 8-120, Baltimore, MD 21287-0010 | 2009-06-22 |
| 1881838977 | Anjali Dogra | Anesthesiology | 600 N Wolfe Street, Meyer 299c, The Johns Hopkins Medical Institutions, Baltimore, MD 21287 | 2009-04-21 |
| 1790959930 | Joseph John Colella | Anesthesiology | 17008 Barn Ridge Dr, Silver Spring, MD 20906-1178 | 2008-04-18 |
| 1487859021 | Gillian R Isaac | Anesthesiology | 600 N Wolfe St # 1415, Baltimore, MD 21287-0005 | 2007-06-15 |
| 1043305832 | Pulmonary and Critical Care Associates of Baltimore, P.a. | Anesthesiology | 501 Fairmount Ave Ste 103, Towson, MD 21286-5457 | 2006-10-04 |
| Find all providers with the same taxonomy | ||||
| City | GLENN DALE |
| Zip Code | 20769 |
Please comment or provide details below to improve the information on ENDOSEDATION LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.