Individual provider Active NPI

Mary Elizabeth Luhr Johnson, CRNA

  • Certified Registered Nurse Anesthetist
  • Medina, NY
National Provider Identifier
1194925339
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
343884 Issued in NY
Practice address
200 Ohio St
Medina, NY 14103-1063
Phone
(585) 798-8300
Fax
(585) 798-8439
NPI assigned
Jul 24, 2007
Last updated
Jul 24, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 343884 NY Primary

Addresses

Primary practice location

200 Ohio St
Medina, NY 14103-1063

Mailing address

8121 W Canal Rd
Brockport, NY 14420-2103
Phone (585) 395-1343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071025000236 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406943380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maple Gate Anesthesiologists, P.C.Group PAC ID 8022913839, 113 clinicians

Practice addresses (Care Compare)

1540 Maple Rd
Williamsville, NY 14221-3647
Phone (716) 632-1088

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maple Gate Anesthesiologists, P.C. CurrentSince May 1, 2008 Accepting new patients

Locations

2568 Walden Ave
Ste 103
Cheektowaga, NY 14225

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

215 Klein Rd
Williamsville, NY 14221
Phone (716) 568-6100

30 S Cayuga Rd
Williamsville, NY 14221

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1194925339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8121 W CANAL RD",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144202103",
            "telephone_number": "585-395-1343",
            "fax_number": "585-733-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OHIO ST",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031063",
            "telephone_number": "585-798-8300",
            "fax_number": "585-798-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUHR JOHNSON",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "343884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.