Derek Maynard, SRNA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134869589

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

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Saint Albans, WV

No coordinates on file. Search this address in Google Maps

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

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

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