Kenneth W Martin, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

70552 Issued in NY

Practice address

70 Dubois Street
Mid-Hudson Anesthesiologists, PC
Newburgh, NY 12550

Phone

(845) 561-4400

Fax

(308) 254-7258

NPI assigned

Jun 23, 2009

Last updated

Mar 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, FL2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Lake City Outpatient Anesthesia PLLCGroup PAC ID 0749779098, 3 clinicians

Rizwana Thanawala MD PAGroup PAC ID 5092706994, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://73a16b75-76ae-4370-af3f-78876c5948e6.gastro.prod.fhir.ema-api.com/fhir/r4/

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.

• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  CO, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Lake City Outpatient Anesthesia PLLC

  • Anesthesiology Physician
  • Lake City, FL
  • NPI 1316171010
  Medicare reassignment Care Compare group NPD
• Rizwana Thanawala MD PA

  • Gastroenterology Physician
  • Lake City, FL
  • NPI 1194945097
  Medicare reassignment Care Compare group NPD
• Arapahoe Gastroenterology Anesthesia Associates LLC

  dba Central Colorado Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Littleton, CO
  • NPI 1598115479

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Jax Anesthesia Providers LLC

  • Anesthesiology Physician
  • Jacksonville, FL
  • NPI 1245271154
  Medicare reassignment NPD
• North Florida Surgery Center Inc

  • Anesthesiology Physician
  • Lake City, FL
  • NPI 1659535367
  Medicare reassignment NPD
• St. Vincent General Hospital District

  • Primary Care Clinic/Center
  • Leadville, CO
  • NPI 1497710958
  Medicare reassignment NPD
• Tenet Florida Physician Services LLC

  • Surgery Physician
  • West Palm Beach, FL
  • NPI 1659417467
  Medicare reassignment
• North Florida Surgery Center Inc

  dba North Florida Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Lake City, FL
  • NPI 1467582437
  NPD
• St. Vincent General Hospital District

  dba St. Vincent Family Health Center and Urgent Care

  • Rural Health Clinic/Center
  • Leadville, CO
  • NPI 1467047183
  NPD
• Portsmouth Anesthesia Associates, P.C.

  • Anesthesiology Physician
  • Portsmouth, VA
  • NPI 1487677845
  NPD (past)

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1124256656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CATHARINE STREET",
            "address_2": "MID-HUDSON ANESTHESIOLOGISTS, PC",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12601",
            "telephone_number": "845-790-2661",
            "fax_number": "845-790-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 DUBOIS STREET",
            "address_2": "MID-HUDSON ANESTHESIOLOGISTS, PC",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "12550",
            "telephone_number": "845-561-4400",
            "fax_number": "308-254-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KENNETH",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024168356",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101194",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "70552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Lynn Markouizos, LMFT
• Angel Marquez, DO
• Christian Marquez
• Liezel Marquez, OTR/L
• Crystal Marr
• Stephen C Martin, M.D.
• Jose A Martinez, MD
• Rosallyn Martinez
• Serina Martinez
• Susan Antonina Martino, M.D.

• Certified Registered Nurse Anesthetist in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Certified Registered Nurse Anesthetist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.