Individual provider Active NPI

Jacqueline A Saad, CRNA

  • Certified Registered Nurse Anesthetist
  • Towson, MD
National Provider Identifier
1144524018
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R170535 Issued in MD
Practice address
6701 N Charles St
Towson, MD 21204-6808
Phone
(410) 296-4616
Fax
(410) 337-5068
NPI assigned
Jan 6, 2011
Last updated
Jan 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R170535 MD Primary
Registered Nurse 163W00000X RN1013655 DC

Addresses

Primary practice location

6701 N Charles St
Towson, MD 21204-6808

Mailing address

230 Schilling Circle Ste 170
Attn: Mary Ellen Cuthie
Hunt Valley, MD 21031-1417
Phone (410) 296-4616

Other identifiers 1

IdentifierTypeStateIssuer
5511623 00MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110609000599 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113104605 Reassigns benefits to 3 organizations
I20210428001526 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113104605 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN1013655DCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia Maryland LLC CurrentSince Apr 1, 2021 Accepting new patients
Urological Institute of Maryland CurrentSince Dec 23, 2021 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 26, 2021 Accepting new patients
GBMC Hospital Based Services, LLC. CurrentSince Nov 15, 2023 Accepting new patients

Locations

6339 E Speedway Blvd
Ste 201
Tucson, AZ 85710
Phone (866) 950-8013

6401 N Charles St
Rm 4226
Baltimore, MD 21212
Phone (443) 849-2121

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

1701 York Rd
Timonium, MD 21093
Phone (540) 846-1552

6701 N Charles St
Towson, MD 21204
Phone (443) 849-2000

6701 N Charles St
#4226
Towson, MD 21204
Phone (410) 296-4616

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

1701 Innovation Dr
York, PA 17408
Phone (717) 843-8623

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1144524018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 SCHILLING CIRCLE STE 170",
            "address_2": "ATTN: MARY ELLEN CUTHIE",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311417",
            "telephone_number": "410-296-4616",
            "fax_number": "410-337-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 N CHARLES ST",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046808",
            "telephone_number": "410-296-4616",
            "fax_number": "410-337-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAD",
        "first_name": "JACQUELINE",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R170535",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1013655",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5511623 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.