Active NPI
Michael Maroon Sr., CRNA
- Certified Registered Nurse Anesthetist
- Knoxville, TN
National Provider Identifier
1699764696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9052
- Practice address
- 501 20TH St
Suite 606
Knoxville, TN 37916-1809 - Phone
- (865) 546-8040
- Fax
- (865) 541-2787
- NPI assigned
- Oct 21, 2005
- 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 | 9052 | TN | Primary |
Addresses
Primary practice location
501 20TH St
Suite 606
Knoxville, TN 37916-1809
Mailing address
501 20TH St
Suite 606
Knoxville, TN 37916-1809
Phone (865) 546-8040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4182806 | Other | TN | BLUECROSS BLUE SHIELD |
| 1505419 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9052 | TN | MD | Pharmacist |
| 36463 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pineville Community Hospital Association, Inc. | Past | Accepting new patients | |
| Pineville Community Hospital Association, Inc. | Past | Accepting new patients | |
| Ahp of Georgia, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Sevier Anesthesia Associates, P.C | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Hamblen Anesthesia PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia and Pain Consultants,P.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 7
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
- Knoxville, TN
- NPI 1245279777
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Johnson City, TN
- NPI 1750399127
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Morristown, TN
- NPI 1821007485
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Sevierville, TN
- NPI 1629068416
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1467400481
Nurse Anesthetist, Certified Registered
-
- Skilled Nursing Facility
- Pineville, KY
- NPI 1447272216
-
- Medicare Defined Swing Bed Hospital Unit
- Pineville, KY
- NPI 1861843401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1699764696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 20TH ST",
"address_2": "SUITE 606",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379161809",
"telephone_number": "865-546-8040",
"fax_number": "865-541-2787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 20TH ST",
"address_2": "SUITE 606",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379161809",
"telephone_number": "865-546-8040",
"fax_number": "865-541-2787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAROON",
"first_name": "MICHAEL",
"name_suffix": "Sr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-21",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "9052",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHIELD",
"identifier": "4182806",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1505419",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.