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LAKE RIDGE ANESTHESIA LLC
NPI 1558619254
Anesthesiology in Woodbridge, VA

Active since August 28, 2012
12825 MINNIEVILLE ROAD, # 220, WOODBRIDGE, VA 22192(301) 829-7386(301) 829-7694 Get Directions Write a Review

NPPES record last updated: August 19, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Ridge Anesthesia Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE RIDGE ANESTHESIA LLC (NPI 1558619254) is a healthcare organization registered as an anesthesiology in Woodbridge, Virginia and active in the NPI registry since August 2012. The organization lists Reza Izadi, Owner, as its authorized official.

NPPES Registry Identity

NPI1558619254
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameLAKE RIDGE ANESTHESIA LLC
Location Address12825 MINNIEVILLE ROAD, # 220Woodbridge, VA 22192
Mailing Address1302 Rising Ridge Rd, # 1Mount Airy, MD 21771-5790 · (301) 829-7683 · Fax (301) 829-7694
Phone(301) 829-7386
Fax(301) 829-7694
Organization SubpartNo
Authorized OfficialReza IzadiOwner · (301) 829-7683
Enumeration DateAugust 28, 2012
Last NPPES UpdateAugust 19, 2015
✔ NPI 1558619254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in VA · 0101237760
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 0101237760 (VA)
12825 MINNIEVILLE ROAD, Woodbridge, VA 22192
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREATER METROPOLITAN ORTHOPAEDIC INSTITUTE
Orthopaedic Surgery
12825 MINNIEVILLE ROAD, SUITE 201/203
WOODBRIDGE, VA 22192
Prince William County (301) 856-1682
POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM
Clinic/Center
12825 MINNIEVILLE ROAD
LAKE RIDGE, VA 22192
Prince William County (703) 523-9800
LAKE RIDGE AMBULATORY SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
12825 MINNIEVILLE ROAD, SUITE 204
WOODBRIDGE, VA 22192
Prince William County (703) 357-9568
ELETHIA V WAMPLER
Physical Therapist
12825 MINNIEVILLE ROAD, SUITE 203
WOODBRIDGE, VA 22192
Prince William County (703) 971-3701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Ridge Anesthesia LLC's NPI number?

The NPI number for Lake Ridge Anesthesia LLC is 1558619254. It was assigned to this organization in the NPPES registry on August 28, 2012.

Where is Lake Ridge Anesthesia LLC located?

Lake Ridge Anesthesia LLC is located at 12825 Minnieville Road # 220, Woodbridge, VA 22192. The listed phone number is (301) 829-7386.

What is Lake Ridge Anesthesia LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

When was this NPI record last updated?

The NPPES record for Lake Ridge Anesthesia LLC was last updated on August 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.