Active NPI
Howard Mudd, CRNA
- Certified Registered Nurse Anesthetist
- Berlin, NH
National Provider Identifier
1023054426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 039337-23-11
- Practice address
- 59 Page Hill Rd
Anesthesia Department
Berlin, NH 03570-3531 - Phone
- (603) 752-3382
- NPI assigned
- Jun 22, 2006
- Last updated
- Sep 23, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 039337-21 | NH | |
| Certified Registered Nurse Anesthetist | 367500000X | 039337-23-11 | NH | Primary |
| Anesthesiology Physician | 207L00000X | 039337-23-11 | NH |
Addresses
Primary practice location
59 Page Hill Rd
Anesthesia Department
Berlin, NH 03570-3531
Mailing address
59 Page Hill Rd
Berlin, NH 03570-3531
Phone (603) 752-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30006944 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039337-21 | NH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Wood Anesthesia Services, P.C. | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Berlin, NH
- NPI 1447205356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285200000000",
"number": "1023054426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 PAGE HILL RD",
"city": "BERLIN",
"state": "NH",
"postal_code": "035703531",
"telephone_number": "603-752-2200",
"fax_number": "603-326-5999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 PAGE HILL RD",
"address_2": "ANESTHESIA DEPARTMENT",
"city": "BERLIN",
"state": "NH",
"postal_code": "035703531",
"telephone_number": "603-752-3382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUDD",
"first_name": "HOWARD",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2010-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NH",
"license": "039337-21",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "039337-23-11",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NH",
"license": "039337-23-11",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30006944",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.