Individual provider Active NPI

Suzanne Maynard, CRNA

  • Certified Registered Nurse Anesthetist
  • Portland, ME
National Provider Identifier
1386641355
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
033739-23 Issued in NH
Practice address
22 Bramhall St
Dept of Anesthesiology
Portland, ME 04102
Phone
(207) 662-4562
Fax
(207) 662-6236
NPI assigned
Jul 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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 033739-23 NH Primary
Specialist 174400000X 03373921 NH

Addresses

Primary practice location

22 Bramhall St
Dept of Anesthesiology
Portland, ME 04102

Mailing address

22 Bramhall St
Dept of Anesthesiology
Portland, ME 04102
Phone (207) 662-4562

Other identifiers 1

IdentifierTypeStateIssuer
30342549MedicaidNH

Other names 1

  • Suzanne M Snowden Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, MA, WA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060418000044 VT Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961419494 Reassigns benefits to 1 organization
I20110505000305 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961419494 Reassigns benefits to 3 organizations
I20251002004143 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961419494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Practice addresses (Care Compare)

17 Belmont Ave
Brattleboro, VT 05301-7601
Phone (802) 257-0341

939 Caroline St
Port Angeles, WA 98362-3909
Phone (360) 417-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03373921NHMDSpecialist
033739-23NHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Current Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 10, 2021 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Sep 2, 2018 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Sep 2, 2018 Accepting new patients
Anesthesia Professionals, Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2018 Accepting new patients
South Suburban Gastroenterology, PC CurrentSince Jan 19, 2021 Accepting new patients
Weymouth Endoscopy, LLC PastSince Jan 19, 2021 Accepting new patients
North American Partners in Anesthesia New Hampshire LLP Past Accepting new patients
Alaska Spine Center, LLC Past Accepting new patients

Locations

145 West St
Milford, MA 01757
Phone (508) 381-5600

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

500 Faunce Corner Rd
Ste 180
North Dartmouth, MA 02747
Phone (508) 717-0270

146 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 833-6000

275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000

100 South St
Southbridge, MA 01550
Phone (508) 764-8012

97 Libbey Park
Ste 300
Weymouth, MA 02189
Phone (781) 331-2922

1085 Main St
Weymouth, MA 02190
Phone (781) 331-2922

400 10th St E
Waconia, MN 55387

17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360

939 Caroline St
Port Angeles, WA 98362
Phone (360) 417-7315

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1386641355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "address_2": "DEPT OF ANESTHESIOLOGY",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04102",
            "telephone_number": "207-662-4562",
            "fax_number": "207-662-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "address_2": "DEPT OF ANESTHESIOLOGY",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04102",
            "telephone_number": "207-662-4562",
            "fax_number": "207-662-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "SUZANNE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "033739-23",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NH",
            "license": "03373921",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30342549",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "SNOWDEN",
            "middle_name": "M",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.