GARY PHELPS CRNA NPI 1689676462

NPI Information

  • NPI: 1689676462
  • Provider Name: GARY PHELPS, CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 2411 W BELVEDERE AVE
    MID ATLANTIC NEURO ASSOCIATES
    BALTIMORE, MD
    ZIP 21215
  • Phone: (410) 601-8314

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NPI Details

Gary Phelps, CRNA is a nurse anesthetist certified registered in Baltimore, MD. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Gary Phelps, CRNA NPI is 1689676462. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2411 W BELVEDERE AVE
MID ATLANTIC NEURO ASSOCIATES
BALTIMORE, MD
ZIP 21215-228
Phone: (410) 601-8314

The enumeration date for this NPI number is 8/11/2005 and was last updated on 11/26/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367500000XNurse Anesthetist, Certified RegisteredR130008MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1649100600MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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