Derek Maynard, SRNA
Derek Maynard, SRNA is a Certified Registered Nurse Anesthetist (CRNA) in Saint Albans, West Virginia. Qualified in 2022, 4 years ago. Practices with Commonwealth Anesthesia, PSC, a 178-clinician group and accepts Medicare assignment. Licensed in Kentucky.
- Years since qualifying
- 4
- Licensed in
- KY
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
2106 Shadyside Rd Apt DSaint Albans, WV 25177-3465
Phone: (304) 687-5771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 3017779 (KY) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1134869589 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SRNA |
| Sole proprietor | No |
| NPI enumerated | March 31, 2022 |
| Last updated in NPPES | June 3, 2022 |
| Certification date | June 3, 2022 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Commonwealth Anesthesia, Psc — 178 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |