Maryann Holbrook, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

46500 Issued in OH

Practice address

81 Sylvania Dr
Beavercreek, OH 45440-3271

Phone

(937) 431-9531

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Services of Greater Dayton LLCGroup PAC ID 1658520747, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Anesthesia Services of Greater Dayton, LLC

  • Certified Registered Nurse Anesthetist
  • Beavercreek, OH
  • NPI 1407132830
  Medicare reassignment Care Compare group
• Gi Anesthesia, LLC

  • Anesthesiology Physician
  • Dayton, OH
  • NPI 1730332610
  Medicare reassignment
• Consolidated Anesthesiologists Inc

  • Anesthesiology Physician
  • Dayton, OH
  • NPI 1952377798

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Medical Center at Elizabeth Place LLC

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1639126220
  NPD (past)
• Miami Valley Anesthesia

  • Ambulatory Surgical Clinic/Center
  • Chagrin Falls, OH
  • NPI 1477698280
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1962541656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 LISA DR STE A",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453718425",
            "telephone_number": "937-287-8178",
            "fax_number": "937-669-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 SYLVANIA DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454403271",
            "telephone_number": "937-431-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBROOK",
        "first_name": "MARYANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-10-16",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "46500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2071681",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donghai Viet Ho, M.D.
• Minh Ho, DO
• Debra Hobson, OD
• Kara Ann Hofacker, LISW-S
• Katelyn Diane Hogan
• Marialexxa Holman, RBT
• Deirdre Holmes, O.D.
• Grace Holmes
• Spencer Frederick Holmes, DDS, MS
• John Holt III

• Certified Registered Nurse Anesthetist in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.

Verify at the official NPI Registry.