Individual provider Active NPI

Johanna Z. Maroon, CRNA

  • Certified Registered Nurse Anesthetist
  • Dickson City, PA
National Provider Identifier
1962463414
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN153460L Issued in PA
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

Updated by the provider on Feb 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN153460LPAMDCertified 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.

Verify at the official NPI Registry.