Active NPI
Michael Maldonado, CRNA
- Certified Registered Nurse Anesthetist
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN527570L
- Practice address
- 200 State St
Erie, PA 16507-1420 - Phone
- (814) 453-3900
- Fax
- (814) 453-2847
- NPI assigned
- Jun 19, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN527570L | PA | Primary |
Addresses
Primary practice location
200 State St
Erie, PA 16507-1420
Mailing address
3998 Fair Ridge Drive
Suite 300
Fairfax, VA 22033-2921
Phone (703) 295-9360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00853635 | Other | NJ | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 State St
Erie, PA 16550-0002
Phone (814) 877-6000
232 W 25TH St
Ahn Saint Vincent Anesthesia
Erie, PA 16544-0002
Phone (814) 452-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia, Pennsylvania , LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St Vincent Medical Education and Research Institute Inc | Current | Accepting new patients |
Locations
155 E State St
Albion, PA 16401
Phone (814) 756-4917
206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951
312 W 25th St
Erie, PA 16502
Phone (814) 452-5309
232 W 25th St
Erie, PA 16544
Phone (814) 452-5337
200 State St
Erie, PA 16507
Phone (814) 453-3900
201 State St
Erie, PA 16550
Phone (814) 877-2137
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Erie, PA
- NPI 1902881477
-
- Anesthesiology Physician
- Melville, NY
- NPI 1639137854
Nurse Anesthetist, Certified Registered, PA
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Erie, PA
- NPI 1861435042
-
- General Acute Care Hospital
- Erie, PA
- NPI 1487647590
-
- General Acute Care Hospital
- Erie, PA
- NPI 1538207394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428019200000",
"number": "1295962967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3998 FAIR RIDGE DRIVE",
"address_2": "SUITE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332921",
"telephone_number": "703-295-9360",
"fax_number": "703-766-9725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 STATE ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165071420",
"telephone_number": "814-453-3900",
"fax_number": "814-453-2847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "MICHAEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-19",
"last_updated": "2015-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN527570L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00853635",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.