Active NPI
Johanna Z. Maroon, CRNA
- Certified Registered Nurse Anesthetist
- Dickson City, PA
National Provider Identifier
1962463414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN153460L
- Practice address
- 425 Scranton/Carbondale Highway
Dickson City, PA 18508 - Phone
- (570) 558-6372
- Fax
- (570) 558-9471
- NPI assigned
- Mar 31, 2006
- Sex
- Female
- 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 | RN153460L | PA | Primary |
Addresses
Primary practice location
425 Scranton/Carbondale Highway
Dickson City, PA 18508
Mailing address
423 Scranton Carbondale Hwy
Scranton, PA 18508-1115
Phone (570) 558-6372
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
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN153460L | PA | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1962463414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 SCRANTON CARBONDALE HWY",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185081115",
"telephone_number": "570-558-6372",
"fax_number": "570-558-9471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 SCRANTON/CARBONDALE HIGHWAY",
"city": "DICKSON CITY",
"state": "PA",
"postal_code": "18508",
"telephone_number": "570-558-6372",
"fax_number": "570-558-9471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAROON",
"first_name": "JOHANNA",
"middle_name": "Z.",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN153460L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dickson City, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.