Active NPI
John David Maharrey, CRNA
- Certified Registered Nurse Anesthetist
- Oxford, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 22072
- Practice address
- 2704 W Oxford Loop
Suite 117
Oxford, MS 38655-5714 - Phone
- (662) 550-4299
- NPI assigned
- Apr 30, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024171086 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | A810705 | MS | |
| Registered Nurse | 163W00000X | 163517 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 22072 | TN | Primary |
Addresses
Primary practice location
2704 W Oxford Loop
Suite 117
Oxford, MS 38655-5714
Mailing address
2704 W Oxford Loop
Suite 117
Oxford, MS 38655-5714
Phone (662) 550-4299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 Exeter Rd
Suite 200
Germantown, TN 38138-3966
Phone (901) 699-4436
960 Avent Dr
Grenada, MS 38901-5230
Phone (662) 227-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163517 | TN | MD | Registered Nurse |
| A810705 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willow Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
960 Avent Dr
Grenada, MS 38901
Phone (662) 227-7000
499 Azalea Dr
Oxford, MS 38655
Phone (662) 234-7979
2704 West Oxford Loop
Ste 117
Oxford, MS 38655
Phone (662) 550-4299
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.
-
- Certified Registered Nurse Anesthetist
- Oxford, MS
- NPI 1205169521
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital
- Grenada, MS
- NPI 1083041917
-
- General Acute Care Hospital
- Grenada, MS
- NPI 1558798603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1689019929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2704 W OXFORD LOOP",
"address_2": "SUITE 117",
"city": "OXFORD",
"state": "MS",
"postal_code": "386555714",
"telephone_number": "662-550-4299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2704 W OXFORD LOOP",
"address_2": "SUITE 117",
"city": "OXFORD",
"state": "MS",
"postal_code": "386555714",
"telephone_number": "662-550-4299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHARREY",
"first_name": "JOHN",
"middle_name": "DAVID",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-30",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024171086",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "A810705",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "163517",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "22072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.