Active NPI
Marc Bozenski, CRNA
- Certified Registered Nurse Anesthetist
- Exeter, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 059042-23
- Practice address
- 5 Alumni Dr.
Anesthesia Dept
Exeter, NH 03833-2128 - Phone
- (603) 580-6624
- Fax
- (603) 580-6620
- NPI assigned
- Feb 3, 2010
- Last updated
- Apr 3, 2018
- 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 | 059042-23 | NH | Primary |
Addresses
Primary practice location
5 Alumni Dr.
Anesthesia Dept
Exeter, NH 03833-2128
Mailing address
7 Holland Way FL 1
Exeter, NH 03833-2997
Phone (603) 777-1096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16 Keewaydin Dr
Salem, NH 03079-2839
Phone (603) 401-6466
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Anesthesia Care Group PC | Current | Accepting new patients | |
| Seacoast Anesthesia PA | Past | Accepting new patients |
Locations
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339
88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Stratham, NH
- NPI 1346480639
-
- Anesthesiology Physician
- Exeter, NH
- NPI 1629074224
-
- Magnetic Resonance Imaging Radiologic Technologist
- Dover, NH
- NPI 1447352430
-
- Diagnostic Radiology Physician
- Somersworth, NH
- NPI 1295326494
-
- Anesthesiology Physician
- Exeter, NH
- NPI 1457306367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522713600000",
"number": "1992037899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 HOLLAND WAY FL 1",
"city": "EXETER",
"state": "NH",
"postal_code": "038332997",
"telephone_number": "603-777-1096",
"fax_number": "603-580-7210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 ALUMNI DR.",
"address_2": "ANESTHESIA DEPT",
"city": "EXETER",
"state": "NH",
"postal_code": "038332128",
"telephone_number": "603-580-6624",
"fax_number": "603-580-6620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOZENSKI",
"first_name": "MARC",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-03",
"last_updated": "2018-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "059042-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Exeter, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.