Maple Anesthesia Management, LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

MAPLE ANESTHESIA MANAGEMENT, LLC

Practice address

2001 Cooper St
Fort Worth, TX 76104-2529

Phone

(817) 334-0880

Fax

(972) 346-6869

NPI assigned

Jun 9, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tracy Walls

Title

President

Phone

(972) 234-4740

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1922457035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674426",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674426",
            "telephone_number": "817-334-0880",
            "fax_number": "972-346-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 COOPER ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042529",
            "telephone_number": "817-334-0880",
            "fax_number": "972-346-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE ANESTHESIA MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-234-4740"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rohinah Manzoor
• Chen Yuan Mao, D.M.D.
• Fiona Mao, FNP
• Kristin Theresa Mapes
• Scott Edward Mapes, D.C.
• Judith A. Maples, M.D.
• Steven Edward Mapula, MD
• Arej E Maragan
• Mallory Nicole Maranto, CPNP
• Molly Maranto, MCD, CCC-SLP

• Certified Registered Nurse Anesthetist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.