Individual provider Active NPI

Jason P Valdez, CRNA

  • Certified Registered Nurse Anesthetist
  • Towson, MD
National Provider Identifier
1356678262
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R152656 Issued in MD
Practice address
6701 N Charles St
Towson, MD 21204-6808
Phone
(410) 296-4616
Fax
(410) 337-5068
NPI assigned
Nov 13, 2009
Last updated
Dec 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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 R152656 MD Primary

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
419211700MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100408000420 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082740592 Reassigns benefits to 3 organizations

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
GBMC Hospital Based Services LLCGroup PAC ID 6002299369, 46 clinicians

Practice addresses (Care Compare)

6401 N Charles St
RM 4226
Baltimore, MD 21212-1016
Phone (443) 849-2121

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R152656MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia Maryland LLC CurrentSince Apr 1, 2021 Accepting new patients
GBMC Hospital Based Services, LLC. CurrentSince Dec 4, 2022 Accepting new patients
Anesthesia Company, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2023 Accepting new patients

Locations

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

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

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

Organizations & group practices 3

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 1

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": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1356678262",
    "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": "VALDEZ",
        "first_name": "JASON",
        "middle_name": "P",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-13",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R152656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "419211700",
            "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 Dec 3, 2019; 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.